CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Osceola Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $990
Cash Discount Price: $2,899
vs. Medicare Baseline: 11.13x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Osceola Hospital is $990. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,899. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.13x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$2,899

Average discount available for prompt cash payment at this facility.

Insurance Median

$990

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: $2,899 (3261%)

Insurance Median: $990 (1113%)

Cash: $2,899 (3261% of Medicare)

Ins. Median: $990 (1113% 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 1113% of the Medicare baseline (a markup of 1013%). 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 - $1,453	205%
Freedom Health	$187 - $233	210%
Optimum	$187 - $233	210%
Avmed	$208 - $1,615	234%
Simply	$400 - $497	450%
Corvel Corporation	$414	466%
Prime Health	$422	475%
Careworks (Rockport Community)	$435	489%
Molina Healthcare	$493 - $872	554%
Evolutions	$597 - $743	671%
Sunshine State Health Plan	$662 - $824	745%
Humana	$727 - $904	818%
Aetna	$779 - $969	876%
Plotkin Health	$1,299 - $1,615	1461%
Prime Health Sheriff	$1,299 - $1,615	1461%
Multiplan	$1,948 - $2,745	2191%
Evernorth	$2,078 - $2,584	2337%
Ppo Next	$2,208 - $2,745	2483%
Novanet	$2,337 - $2,907	2629%
Beacon Health Options	$2,597 - $3,230	2921%

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 $2,899.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Osceola Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73630.
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.