CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Twin Cities Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $2,871
Cash Discount Price: $6,901
vs. Medicare Baseline: 32.29x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Twin Cities Hospital is $2,871. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,901. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 32.29x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$6,901

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,871

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: $6,901 (7762%)

Insurance Median: $2,871 (3229%)

Cash: $6,901 (7762% of Medicare)

Ins. Median: $2,871 (3229% 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 3229% of the Medicare baseline (a markup of 3129%). 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 - $3,627	205%
Corvel Corporation	$417	469%
Prime Health	$426	479%
Careworks (Rockport Community)	$439	494%
Simply	$884 - $1,241	994%
Molina Healthcare	$1,091 - $2,579	1227%
Avmed	$1,378 - $4,030	1550%
Sunshine State Health Plan	$1,464 - $2,055	1647%
Aetna	$1,723 - $2,418	1938%
Humana	$2,182 - $3,063	2454%
Plotkin Health	$2,871 - $4,030	3229%
Prime Health Sheriff	$2,871 - $4,030	3229%
Evolutions Healthcare	$3,732 - $6,851	4198%
Multiplan	$4,479 - $6,851	5038%
Ppo Next	$4,881 - $6,851	5490%
Novanet	$5,168 - $7,254	5813%

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 $6,901.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.