CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Osceola Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $914
Cash Discount Price: $2,894
vs. Medicare Baseline: 10.28x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Osceola Hospital is $914. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,894. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.28x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$2,894

Average discount available for prompt cash payment at this facility.

Insurance Median

$914

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: $2,894 (3255%)

Insurance Median: $914 (1028%)

Cash: $2,894 (3255% of Medicare)

Ins. Median: $914 (1028% 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 1028% of the Medicare baseline (a markup of 928%). 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 - $1,402	205%
Freedom Health	$192 - $224	216%
Optimum	$192 - $224	216%
Avmed	$214 - $1,558	241%
Simply	$412 - $480	463%
Corvel Corporation	$435	489%
Prime Health	$444	499%
Careworks (Rockport Community)	$458	515%
Molina Healthcare	$508 - $841	571%
Evolutions	$615 - $717	692%
Sunshine State Health Plan	$681 - $795	766%
Humana	$748 - $873	841%
Aetna	$802 - $935	902%
Plotkin Health	$1,336 - $1,558	1503%
Prime Health Sheriff	$1,336 - $1,558	1503%
Multiplan	$2,004 - $2,649	2254%
Evernorth	$2,138 - $2,493	2405%
Ppo Next	$2,271 - $2,649	2554%
Novanet	$2,405 - $2,805	2705%
Beacon Health Options	$2,672 - $3,117	3005%

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 $2,894.
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 Osceola 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.