CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Osceola Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $947
Cash Discount Price: $2,999
vs. Medicare Baseline: 10.65x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Osceola Hospital is $947. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,999. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.65x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$2,999

Average discount available for prompt cash payment at this facility.

Insurance Median

$947

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: $2,999 (3373%)

Insurance Median: $947 (1065%)

Cash: $2,999 (3373% of Medicare)

Ins. Median: $947 (1065% 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 1065% of the Medicare baseline (a markup of 965%). 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	$199 - $233	224%
Optimum	$199 - $233	224%
Avmed	$222 - $1,615	250%
Corvel Corporation	$406	457%
Prime Health	$414	466%
Simply	$426 - $497	479%
Careworks (Rockport Community)	$427	480%
Molina Healthcare	$526 - $872	592%
Evolutions	$637 - $743	716%
Sunshine State Health Plan	$706 - $824	794%
Humana	$775 - $904	872%
Aetna	$831 - $969	935%
Plotkin Health	$1,384 - $1,615	1557%
Prime Health Sheriff	$1,384 - $1,615	1557%
Multiplan	$2,077 - $2,745	2336%
Evernorth	$2,215 - $2,584	2491%
Ppo Next	$2,354 - $2,745	2648%
Novanet	$2,492 - $2,907	2803%
Beacon Health Options	$2,769 - $3,230	3114%

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 $2,999.
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 Osceola 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.