X-ray, hand
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $238
- Cash Discount Price: $182
- vs. Medicare Baseline: 2.68x 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 268% of the Medicare baseline (a markup of 168%). 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 |
|---|---|---|
| Aetna | $34 - $100 | 38% |
| Allied Benefit Systems | $43 | 48% |
| Meritain | $43 | 48% |
| Hap | $43 | 48% |
| Webtpa | $43 | 48% |
| Luminare Health | $43 | 48% |
| Nippon Life Ins | $43 | 48% |
| 1199 National Benefit Fund | $43 | 48% |
| Gravie Admin Services | $43 | 48% |
| Cigna | $79 - $103 | 89% |
| Magnacare | $79 | 89% |
| Allegiance | $79 | 89% |
| Health Partners | $79 | 89% |
| Connecticut Dept of Correction | $83 | 93% |
| Medicare (plans) | $100 - $104 | 112% |
| Blue Cross Blue Shield | $100 - $398 | 112% |
| UnitedHealthcare | $100 - $128 | 112% |
| Cca Senior Care Options | $102 | 115% |
| Harvard Pilgrim Healthcare | $128 | 144% |
| Geha | $128 | 144% |
| Health New England | $141 - $211 | 159% |
| International Benefit Administrators | $180 - $271 | 202% |
| Lifetime Benefit Solutions | $180 - $271 | 202% |
| Trinity Health Share | $180 - $271 | 202% |
| Christian Care Ministry | $180 - $271 | 202% |
| Multiplan | $180 - $271 | 202% |
| Allied National Global Care | $180 - $271 | 202% |
| Dean Health | $180 - $271 | 202% |
| Pan-American Life | $180 - $271 | 202% |
| Mvp | $180 - $271 | 202% |
| Medi Share | $180 - $271 | 202% |
| Ghc Scw | $180 - $271 | 202% |
| Asrm - Reliance Standard Life Insurance | $180 - $271 | 202% |
| Family Life Insurance Company | $180 - $271 | 202% |
| PHCS | $180 - $271 | 202% |
| Pai | $180 - $271 | 202% |
| Manhattan Life | $180 - $271 | 202% |
| Paramount HMO | $180 - $271 | 202% |
| Prime Health Services | $212 - $318 | 238% |
| Claimdoc | $214 | 241% |
| Innovative Health Plan II | $214 | 241% |
| Diversified Administrators | $214 | 241% |
| Connecticare | $216 - $358 | 243% |
| Health Smart | $225 - $338 | 253% |
| Blue Shield - Ny Highmark Western | $265 - $398 | 298% |
| Wc Domestic | $265 - $398 | 298% |
| Blue Shield - Ca | $265 - $398 | 298% |
| Blue Care Network | $265 - $398 | 298% |
| Bcn Domestic | $265 - $398 | 298% |
| Health Choices | $265 - $398 | 298% |
| Blue Distinction Transplant | $265 - $398 | 298% |
| Unicare | $265 - $398 | 298% |
| Kaiser Domestic | $265 - $398 | 298% |
| Blue Shield - Id (Regence) | $265 - $398 | 298% |
| Blue Shield - Ny Highmark Northeastern | $265 - $398 | 298% |
| Blue Shield - PA (Highmark) | $265 - $398 | 298% |
| Blue Shield - Wa (Regence) | $265 - $398 | 298% |
| Pre-Employment | $265 - $398 | 298% |
| Blue Benefit Administrators of Massachusetts | $265 - $398 | 298% |