X-ray, hand
Facility: Licking Memorial Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $631
- Cash Discount Price: $1,052
- vs. Medicare Baseline: 7.10x 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 710% of the Medicare baseline (a markup of 610%). 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 |
|---|---|---|
| Tricare | $82 | 92% |
| Cigna | $84 - $1,263 | 94% |
| UnitedHealthcare | $84 - $1,193 | 94% |
| Humana | $84 - $1,361 | 94% |
| Aetna | $84 - $1,159 | 94% |
| Wellcare By Allwell [450104] | $84 | 94% |
| Veterans Administration [100068] | $84 | 94% |
| Medicare (plans) | $84 | 94% |
| Blue Cross Blue Shield | $84 - $1,205 | 94% |
| Champva [500001] | $84 | 94% |
| Molina Marketplace [100106] | $134 | 151% |
| Medical Mutual [100114] | $386 - $1,165 | 434% |
| Medben [700068] | $491 - $1,375 | 552% |
| Benicomp [70090] | $526 - $1,052 | 592% |
| Consociate Health 6 Degrees [100059] | $561 - $1,123 | 631% |
| Consociate Health [100029] | $561 - $1,123 | 631% |
| Geha [100039] | $574 - $1,148 | 646% |
| Trustmark Small Business Benefits [100263] | $574 - $1,148 | 646% |
| Webtpa [100127] | $574 - $1,148 | 646% |
| Gravie Administrative Services [100165] | $574 - $1,148 | 646% |
| Allied Benefit Systems [100015] | $574 - $1,148 | 646% |
| Optima [700069] | $574 - $1,148 | 646% |
| Meritain [100063] | $574 - $1,148 | 646% |
| Healthscope [100157] | $596 - $1,193 | 670% |
| Surest [100016] | $596 - $1,193 | 670% |
| United Medical Resources [700071] | $596 - $1,193 | 670% |
| National Association of Letter Carriers [100067] | $631 - $1,263 | 710% |
| The Health Plan [100261] | $631 - $1,263 | 710% |
| Antidote Health Plan of Ohio [70006803] | $631 - $1,263 | 710% |
| Great West Life [700064] | $631 - $1,263 | 710% |
| Wellfleet Group, LLC [100164] | $631 - $1,263 | 710% |
| Ohio PPO Connect [70006801] | $631 - $1,263 | 710% |
| Ohio Healthy Luminare Health [100264] | $631 - $1,263 | 710% |
| Osu Prime Care [100254] | $631 - $1,263 | 710% |
| Quality Care Partners [70006802] | $631 - $1,263 | 710% |
| Ohio Healthy [100255] | $631 - $1,263 | 710% |
| Coresource [100002] | $631 - $1,403 | 710% |
| American Postal Workers [100089] | $631 - $1,263 | 710% |
| Pan American Life [700070] | $648 - $1,295 | 729% |
| Coventry [100010] | $648 - $1,295 | 729% |
| Ohio Health Choice [100109] | $674 - $1,347 | 758% |
| Administrative Concepts [100006] | $681 - $1,361 | 766% |
| Carefactor [100087] | $681 - $1,361 | 766% |
| Philadelphia American Life [100260] | $681 - $1,403 | 766% |
| Reliance Standard-Asrm [100258] | $681 - $1,361 | 766% |