CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Jfk Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $775
Cash Discount Price: $3,521
vs. Medicare Baseline: 8.72x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Jfk Hospital is $775. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,521. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.72x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$3,521

Average discount available for prompt cash payment at this facility.

Insurance Median

$775

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: $3,521 (3960%)

Insurance Median: $775 (872%)

Cash: $3,521 (3960% of Medicare)

Ins. Median: $775 (872% 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 872% of the Medicare baseline (a markup of 772%). 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 - $1,584	205%
Freedom Health	$303 - $563	341%
Optimum	$303	341%
Corvel Corporation	$456	513%
Avmed	$458 - $1,760	515%
Simply Healthcare Plans	$458	515%
Careworks (Rockport)	$465	523%
Prime Health	$465	523%
Healthy Palm Beaches	$550	619%
Molina	$599 - $951	674%
Humana	$739 - $1,197	831%
Health Sun Health Plan	$750	844%
Aids Healthcare	$775 - $4,225	872%
Mmm Of Fl (Health Advantage Plan)	$810	911%
United Ppo	$834	938%
Sunshine State Health Plan	$915	1029%
Aetna	$1,056	1188%
Blis	$1,232	1386%
District Cares	$1,760	1980%
Plotkin Health	$1,760	1980%
Prime Health Sherriff	$1,760	1980%
Medica Healthcare	$2,077	2336%
Multiplan	$2,641 - $2,993	2970%
Evernorth Bh	$2,817	3168%

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 $3,521.
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 Jfk 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.