CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Jfk Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $1,926
  • Cash Discount Price: $6,884
  • vs. Medicare Baseline: 21.66x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Jfk Hospital is $1,926. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,884. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 21.66x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$6,884

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,926

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: $6,884 (7743%)
Insurance Median: $1,926 (2166%)
Cash: $6,884 (7743% of Medicare)
Ins. Median: $1,926 (2166% 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 2166% of the Medicare baseline (a markup of 2066%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $4,128 205%
Freedom Health $395 - $1,468 444%
Optimum $395 - $789 444%
Corvel Corporation $459 516%
Careworks (Rockport) $468 526%
Prime Health $468 526%
Healthy Palm Beaches $550 619%
Avmed $597 - $4,586 671%
Simply Healthcare Plans $597 - $1,192 671%
Molina $781 - $2,477 878%
Humana $965 - $3,119 1085%
Health Sun Health Plan $979 - $1,954 1101%
Aids Healthcare $1,011 - $11,008 1137%
Mmm Of Fl (Health Advantage Plan) $1,057 - $2,110 1189%
United Ppo $1,089 - $2,174 1225%
Sunshine State Health Plan $1,195 - $2,385 1344%
Aetna $1,378 - $2,752 1550%
Blis $1,608 - $3,211 1809%
District Cares $2,298 - $4,586 2585%
Plotkin Health $2,298 - $4,586 2585%
Prime Health Sherriff $2,298 - $4,586 2585%
Medica Healthcare $2,711 - $5,412 3049%
Multiplan $3,446 - $7,797 3876%
Evernorth Bh $3,676 - $7,338 4135%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals