CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Twin Cities Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $1,649
Cash Discount Price: $4,339
vs. Medicare Baseline: 18.55x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Twin Cities Hospital is $1,649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,339. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 18.55x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$4,339

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,649

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: $4,339 (4880%)

Insurance Median: $1,649 (1855%)

Cash: $4,339 (4880% of Medicare)

Ins. Median: $1,649 (1855% 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 1855% of the Medicare baseline (a markup of 1755%). 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 - $1,953	205%
Corvel Corporation	$439	494%
Prime Health	$448	504%
Careworks (Rockport Community)	$462	520%
Simply	$668	751%
Molina Healthcare	$824 - $1,388	927%
Avmed	$1,041 - $2,170	1171%
Sunshine State Health Plan	$1,106	1244%
Aetna	$1,302	1464%
Humana	$1,649	1855%
Plotkin Health	$2,170	2441%
Prime Health Sheriff	$2,170	2441%
Evolutions Healthcare	$2,820 - $3,688	3172%
Multiplan	$3,384 - $3,688	3806%
Ppo Next	$3,688	4148%
Novanet	$3,905	4392%

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 $4,339.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.