CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Jfk Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,867
Cash Discount Price: $6,670
vs. Medicare Baseline: 21.00x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Jfk Hospital is $1,867. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,670. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 21.00x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$6,670

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,867

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: $6,670 (7502%)

Insurance Median: $1,867 (2100%)

Cash: $6,670 (7502% of Medicare)

Ins. Median: $1,867 (2100% 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 2100% of the Medicare baseline (a markup of 2000%). 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 - $4,000	205%
Freedom Health	$383 - $1,422	431%
Optimum	$383 - $765	431%
Corvel Corporation	$425	478%
Careworks (Rockport)	$434	488%
Prime Health	$434	488%
Healthy Palm Beaches	$550	619%
Avmed	$578 - $4,445	650%
Simply Healthcare Plans	$578 - $1,156	650%
Molina	$756 - $2,400	850%
Humana	$934 - $3,023	1051%
Health Sun Health Plan	$948 - $1,894	1066%
Aids Healthcare	$979 - $10,668	1101%
Mmm Of Fl (Health Advantage Plan)	$1,024 - $2,045	1152%
United Ppo	$1,055 - $2,107	1187%
Sunshine State Health Plan	$1,157 - $2,311	1301%
Aetna	$1,335 - $2,667	1502%
Blis	$1,558 - $3,112	1752%
District Cares	$2,225 - $4,445	2503%
Plotkin Health	$2,225 - $4,445	2503%
Prime Health Sherriff	$2,225 - $4,445	2503%
Medica Healthcare	$2,626 - $5,245	2954%
Multiplan	$3,338 - $7,556	3754%
Evernorth Bh	$3,560 - $7,112	4004%

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 $6,670.
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 Jfk 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.