CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Twin Cities Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,880
Cash Discount Price: $4,669
vs. Medicare Baseline: 21.14x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Twin Cities Hospital is $1,880. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,669. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 21.14x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$4,669

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,880

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: $4,669 (5251%)

Insurance Median: $1,880 (2114%)

Cash: $4,669 (5251% of Medicare)

Ins. Median: $1,880 (2114% 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 2114% of the Medicare baseline (a markup of 2014%). 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 - $2,511	205%
Corvel Corporation	$410	461%
Prime Health	$418	470%
Careworks (Rockport Community)	$431	485%
Simply	$579 - $859	651%
Molina Healthcare	$714 - $1,785	803%
Avmed	$902 - $2,790	1015%
Sunshine State Health Plan	$959 - $1,423	1079%
Aetna	$1,128 - $1,674	1269%
Humana	$1,428 - $2,120	1606%
Plotkin Health	$1,880 - $2,790	2114%
Prime Health Sheriff	$1,880 - $2,790	2114%
Evolutions Healthcare	$2,443 - $4,742	2748%
Multiplan	$2,932 - $4,742	3298%
Ppo Next	$3,195 - $4,742	3594%
Novanet	$3,383 - $5,021	3805%

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 $4,669.
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 Twin Cities 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.