X-ray, hand
Facility: Hillcrest Medical Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $1,025
- Cash Discount Price: $584
- vs. Medicare Baseline: 11.53x 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 1153% of the Medicare baseline (a markup of 1053%). 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 |
|---|---|---|
| Lucent Health [6000] | $389 - $584 | 438% |
| Oncology Patient Assistance Programs [2295] | $389 - $584 | 438% |
| Osma Health Network [2345] | $389 - $584 | 438% |
| Oscar Insurance Company [7005] | $389 - $584 | 438% |
| Black Lung [6055] | $389 - $584 | 438% |
| Healthcare Highways [2210] | $389 - $902 | 438% |
| Hooray Health [8000] | $389 - $584 | 438% |
| Healthscope Benefits [2290] | $495 - $742 | 557% |
| UnitedHealthcare | $495 - $742 | 557% |
| Resource One Administrators [2815] | $601 - $902 | 676% |
| Web Tpa [2115] | $601 - $1,025 | 676% |
| Meritain Health [1655] | $684 - $1,025 | 769% |
| Aetna | $684 - $1,025 | 769% |
| The Kempton Group Administrators [2905] | $701 - $1,051 | 788% |
| National Association of Letter Carriers [1695] | $808 - $1,212 | 909% |
| Pba [1775] | $808 - $1,212 | 909% |
| Medica [2910] | $884 - $1,327 | 994% |
| Multiplan [1680] | $884 - $2,009 | 994% |
| PHCS [1780] | $1,137 - $2,009 | 1279% |
| Employee Benefit Management Services [2445] | $1,137 - $1,705 | 1279% |
| Planned Administrators Inc [2360] | $1,339 - $2,009 | 1506% |
| Mutual of Omaha [1685] | $1,339 - $2,009 | 1506% |
| Universal Fidelity [2085] | $1,339 - $2,009 | 1506% |
| Healthfirst [2395] | $1,339 - $2,009 | 1506% |
| Trustmark [2030] | $1,339 - $2,009 | 1506% |
| Pan American Life Insurance Co [1770] | $1,339 - $2,009 | 1506% |
| New Era Life Insurance Company [1705] | $1,339 - $2,009 | 1506% |
| Administrative Concepts [1005] | $1,339 - $2,009 | 1506% |
| Hometown Health [2155] | $1,339 - $2,009 | 1506% |
| Mayo Clinic Health Solutions [2280] | $1,339 - $2,009 | 1506% |
| Allied Benefit Systems Inc [1030] | $1,339 - $2,009 | 1506% |
| Healthcost Solutions [2415] | $1,339 - $2,009 | 1506% |
| Allied National Global Care [1035] | $1,339 - $2,009 | 1506% |
| Pending Ssi [1616] | $1,557 - $2,336 | 1751% |