CMS Price Transparency Data

X-ray, foot

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $600
  • Cash Discount Price: $711
  • vs. Medicare Baseline: 6.75x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Larkin Community Hospital Palm Springs Campus is $600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $711. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.75x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$711

Average discount available for prompt cash payment at this facility.

Insurance Median
$600

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: $711 (800%)
Insurance Median: $600 (675%)
Cash: $711 (800% of Medicare)
Ins. Median: $600 (675% 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 675% of the Medicare baseline (a markup of 575%). 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.

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
Bright Health Commercial - All Other Plans $9 - $109 10%
Clear Springs Health - All Plans $9 - $95 10%
Medicare (plans) $9 - $1,524 10%
Aetna $36 - $91 40%
Florida Community Care Mcaid-All Plans $36 40%
Miami Childrens Hp Mcaid-All Plans $36 40%
Simply Healthcare Mcaid $36 40%
Sunshine Mcaid $36 40%
United Mcaid $36 40%
Wellcare Mcaid $36 40%
Ambetter / Centene $91 102%
Blue Cross Blue Shield $91 - $619 102%
Opus Hospice Ip Only - All Plans $91 102%
Unicare Simply Mcare Ppo - All Plans $95 107%
Ccs - All Plans $123 138%
Fdc - All Plans $127 143%
Cigna $254 - $381 286%
Humana $304 - $1,524 342%
Wellcare Comm (Choice) - All Other Plans $508 - $600 571%
Leon Med Center Mcr Adv - All Plans $914 - $1,372 1028%
Careplus Health - All Other Plans $1,015 - $1,524 1142%
Centurion Doc - All Plans $1,015 - $1,524 1142%
Doctors Healthcare - All Plans $1,015 - $1,524 1142%
Florida Health Solution/Hmo - All Plans $1,015 - $1,524 1142%
Preferred Care Partners Mcr - All Plans $1,015 - $1,524 1142%
Simply Healthcare Mcr - All Other Plans $1,015 - $1,524 1142%
UnitedHealthcare $1,015 - $1,524 1142%
Naphcare - All Plans $1,167 - $1,753 1313%
Oscar Health-All Plans $2,030 - $3,048 2283%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals