X-ray, hand
Facility: Physicians Care Surgical Hospital
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $1,459
- Cash Discount Price: $1,167
- vs. Medicare Baseline: 16.41x 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 1641% of the Medicare baseline (a markup of 1541%). 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 |
|---|---|---|
| Connecticare | $69 | 78% |
| Highmark | $160 | 180% |
| Blue Cross Blue Shield | $160 - $1,576 | 180% |
| Allied Benefit Systems | $201 | 226% |
| Lucent Health | $201 | 226% |
| Meritain Health | $201 | 226% |
| Coventry | $201 | 226% |
| Allied Benefits Systems | $201 | 226% |
| Marpai Health | $201 | 226% |
| Geha | $201 | 226% |
| Ag Administrators Inc | $201 | 226% |
| Continental Benefits | $201 | 226% |
| Aetna | $201 - $1,634 | 226% |
| Trustmark | $201 | 226% |
| Premier Care Network | $201 | 226% |
| Healthez | $201 | 226% |
| Ag Administrators | $201 | 226% |
| Ibc Security 65 | $1,459 | 1641% |
| Keystone 65 HMO | $1,459 | 1641% |
| Pcsh Aarp | $1,459 | 1641% |
| Tricare | $1,459 | 1641% |
| Cigna | $1,459 | 1641% |
| Medicare (plans) | $1,459 | 1641% |
| Humana | $1,459 | 1641% |
| Shenandoah Life | $1,459 | 1641% |
| Vibra Health Plan | $1,459 | 1641% |
| Aarp | $1,459 | 1641% |
| Devon Health Services | $1,459 | 1641% |
| Gpm Health and Life Insurance Mc Supplement | $1,459 | 1641% |
| UnitedHealthcare | $1,459 - $3,096 | 1641% |
| Personal Choice 65 | $1,459 | 1641% |
| Unified Health Services | $1,459 | 1641% |
| Keystone HMO | $1,576 | 1773% |
| Keystone Healthplan East | $1,576 | 1773% |
| Ibc - Local | $1,576 | 1773% |
| Regence Blue Shield | $1,576 | 1773% |
| Independence Administrators | $1,576 | 1773% |
| Amerihealth Administrators | $1,576 | 1773% |
| Horizon of New Jersey | $1,576 | 1773% |
| Ibc | $1,576 | 1773% |
| Personal Choice | $1,576 | 1773% |
| Independence Federal | $1,576 | 1773% |
| Independence Bc | $1,576 | 1773% |
| Ibc 2021 | $1,576 | 1773% |
| Amerihealth New Jersey HMO | $1,576 | 1773% |
| Ibc Local | $1,576 | 1773% |
| Pcsh Ibc | $1,576 | 1773% |
| Keystone Direct POS | $1,576 | 1773% |
| Carefirst Administrators | $1,576 | 1773% |
| Empire Plan | $1,576 | 1773% |
| Surest | $3,096 | 3482% |
| Golden Rule Op | $3,096 | 3482% |
| Oxford Health Plan | $3,096 | 3482% |
| Oxford Life Insurance Company | $3,096 | 3482% |
| Allsavers | $3,096 | 3482% |