CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Citrus Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $833
Cash Discount Price: $3,331
vs. Medicare Baseline: 9.37x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Citrus Hospital is $833. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,331. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.37x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$3,331

Average discount available for prompt cash payment at this facility.

Insurance Median

$833

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $3,331 (3746%)

Insurance Median: $833 (937%)

Cash: $3,331 (3746% of Medicare)

Ins. Median: $833 (937% of 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 937% of the Medicare baseline (a markup of 837%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Access 2 Healthcare Physicians Freedom Optimum Group Members	$157	177%
United	$182 - $1,499	205%
Access 2 Healthcare Physicians Freedom Health	$200	225%
Access 2 Healthcare Physicians Optimum	$200	225%
Freedom Health Care	$217	244%
Optimum Healthcare	$217	244%
Avmed	$266 - $833	299%
Corvel Corporation	$383	431%
Rockport Healthcare Group	$383	431%
Prime Health	$391	440%
Molina	$633 - $899	712%
Evolutions Healthcare Systems	$766 - $3,064	862%
Sunshine State Health Plan	$849	955%
Humana	$933	1049%
Aetna	$999	1124%
Beacon Health Options	$1,665	1873%
Plotkin Health	$1,665	1873%
Prime Health Sheriff	$1,665	1873%
Multiplan	$2,498 - $2,831	2810%
Evernorth	$2,665	2997%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,331.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Citrus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.