CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Jfk Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,836
Cash Discount Price: $6,562
vs. Medicare Baseline: 20.65x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Jfk Hospital is $1,836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,562. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 20.65x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$6,562

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,836

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: $6,562 (7380%)

Insurance Median: $1,836 (2065%)

Cash: $6,562 (7380% of Medicare)

Ins. Median: $1,836 (2065% 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 2065% of the Medicare baseline (a markup of 1965%). 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 - $3,935	205%
Freedom Health	$377 - $1,399	424%
Optimum	$377 - $752	424%
Corvel Corporation	$434	488%
Careworks (Rockport)	$443	498%
Prime Health	$443	498%
Healthy Palm Beaches	$550	619%
Avmed	$569 - $4,372	640%
Simply Healthcare Plans	$569 - $1,137	640%
Molina	$744 - $2,361	837%
Humana	$919 - $2,973	1034%
Health Sun Health Plan	$933 - $1,863	1049%
Aids Healthcare	$963 - $10,494	1083%
Mmm Of Fl (Health Advantage Plan)	$1,007 - $2,011	1133%
United Ppo	$1,038 - $2,073	1167%
Sunshine State Health Plan	$1,138 - $2,274	1280%
Aetna	$1,313 - $2,624	1477%
Blis	$1,532 - $3,061	1723%
District Cares	$2,189 - $4,372	2462%
Plotkin Health	$2,189 - $4,372	2462%
Prime Health Sherriff	$2,189 - $4,372	2462%
Medica Healthcare	$2,583 - $5,160	2905%
Multiplan	$3,284 - $7,433	3694%
Evernorth Bh	$3,502 - $6,996	3939%

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 $6,562.
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 Jfk 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.