X-ray, hand
Facility: Johnson Memorial Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $219
- Cash Discount Price: $290
- vs. Medicare Baseline: 2.46x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $74 - $102 | 83% |
| Aetna | $79 - $102 | 89% |
| Bcn Domestic | $95 | 107% |
| Blue Benefit Administrators of Massachusetts | $95 | 107% |
| Blue Shield - Ny Highmark Western | $95 | 107% |
| Blue Shield - Wa (Regence) | $95 | 107% |
| Blue Shield - Ny Highmark Northeastern | $95 | 107% |
| Health Choices | $95 | 107% |
| Blue Distinction Transplant | $95 | 107% |
| Blue Care Network | $95 | 107% |
| Wc Domestic | $95 | 107% |
| Kaiser Domestic | $95 | 107% |
| Wellpoint | $95 | 107% |
| Pre-Employment | $95 | 107% |
| Blue Shield - Id (Regence) | $95 | 107% |
| Blue Shield - PA (Highmark) | $95 | 107% |
| Unicare | $95 | 107% |
| Blue Shield - Ca | $95 | 107% |
| Connecticut Dept of Correction | $96 | 108% |
| Hap | $99 | 111% |
| Webtpa | $99 | 111% |
| Meritain | $99 | 111% |
| 1199 National Benefit Fund | $99 | 111% |
| Nippon Life Ins | $99 | 111% |
| Gravie Admin Services | $99 | 111% |
| Luminare Health | $99 | 111% |
| Allied Benefit Systems | $99 | 111% |
| UnitedHealthcare | $102 - $633 | 115% |
| Medicare (plans) | $102 - $107 | 115% |
| Cca Senior Care Options | $104 | 117% |
| Cigna | $105 - $494 | 118% |
| Geha | $128 - $255 | 144% |
| Harvard Pilgrim Healthcare | $128 - $255 | 144% |
| Fallon Health | $136 | 153% |
| Connecticare | $136 - $169 | 153% |
| Magnacare | $204 - $408 | 229% |
| Allegiance | $204 - $408 | 229% |
| Health Partners | $204 - $408 | 229% |
| Diversified Administrators | $219 | 246% |
| Innovative Health Plan II | $219 | 246% |
| Claimdoc | $219 | 246% |
| Centivo | $243 | 273% |
| Health New England | $274 - $411 | 308% |
| Prime Health Services | $338 - $506 | 380% |
| Lifetime Benefit Solutions | $350 - $525 | 394% |
| Mvp | $350 - $525 | 394% |
| Trinity Health Share | $350 - $525 | 394% |
| Ghc Scw | $350 - $525 | 394% |
| Pai | $350 - $525 | 394% |
| International Benefit Administrators | $350 - $525 | 394% |
| Manhattan Life | $350 - $525 | 394% |
| Pan-American Life | $350 - $525 | 394% |
| Multiplan | $350 - $525 | 394% |
| Medi Share | $350 - $525 | 394% |
| Dean Health | $350 - $525 | 394% |
| Paramount HMO | $350 - $525 | 394% |
| Christian Care Ministry | $350 - $525 | 394% |
| Family Life Insurance Company | $350 - $525 | 394% |
| Asrm - Reliance Standard Life Insurance | $350 - $525 | 394% |
| PHCS | $350 - $525 | 394% |
| Allied National Global Care | $350 - $525 | 394% |
| Health Smart | $359 - $538 | 404% |
| United Behavioral Health Eap | $422 - $633 | 475% |