CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Lake City Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,068
Cash Discount Price: $3,196
vs. Medicare Baseline: 12.01x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Lake City Hospital is $1,068. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,196. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.01x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.

Cash / Self-Pay

$3,196

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,068

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: $3,196 (3595%)

Insurance Median: $1,068 (1201%)

Cash: $3,196 (3595% of Medicare)

Ins. Median: $1,068 (1201% 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 1201% of the Medicare baseline (a markup of 1101%). 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 - $1,915	205%
Avmed	$256 - $2,128	288%
Simply	$329 - $655	370%
Corvel Corporation	$389	438%
Prime Health	$397	447%
Careworks (Rockport Community)	$409	460%
Humana	$427 - $851	480%
Evolutions	$491 - $3,618	552%
Sunshine State Health Plan	$545 - $1,085	613%
Aetna	$641 - $1,277	721%
Molina Healthcare	$684 - $1,362	769%
Plotkin Health	$1,068 - $2,128	1201%
Prime Health Sheriff	$1,068 - $2,128	1201%
Hamilton County Jail	$1,154 - $2,298	1298%
Multiplan	$1,666 - $3,618	1874%
Ppo Next	$1,816 - $3,618	2043%
Novanet	$1,923 - $3,830	2163%

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 $3,196.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Lake City Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
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.