CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Twin Cities Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $2,428
Cash Discount Price: $5,839
vs. Medicare Baseline: 27.31x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Twin Cities Hospital is $2,428. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,839. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 27.31x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$5,839

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,428

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: $5,839 (6567%)

Insurance Median: $2,428 (2731%)

Cash: $5,839 (6567% of Medicare)

Ins. Median: $2,428 (2731% 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 2731% of the Medicare baseline (a markup of 2631%). 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
United	$182 - $3,069	205%
Corvel Corporation	$417	469%
Prime Health	$426	479%
Careworks (Rockport Community)	$439	494%
Simply	$748 - $1,050	841%
Molina Healthcare	$923 - $2,183	1038%
Avmed	$1,165 - $3,410	1310%
Sunshine State Health Plan	$1,238 - $1,739	1392%
Aetna	$1,457 - $2,046	1639%
Humana	$1,845 - $2,592	2075%
Plotkin Health	$2,428 - $3,410	2731%
Prime Health Sheriff	$2,428 - $3,410	2731%
Evolutions Healthcare	$3,156 - $5,798	3550%
Multiplan	$3,788 - $5,798	4260%
Ppo Next	$4,128 - $5,798	4643%
Novanet	$4,370 - $6,139	4915%

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 $5,839.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Twin Cities Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
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.