CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Lake City Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,028
Cash Discount Price: $3,081
vs. Medicare Baseline: 11.56x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Lake City Hospital is $1,028. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,081. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.56x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.

Cash / Self-Pay

$3,081

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,028

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: $3,081 (3465%)

Insurance Median: $1,028 (1156%)

Cash: $3,081 (3465% of Medicare)

Ins. Median: $1,028 (1156% 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 1156% of the Medicare baseline (a markup of 1056%). 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 - $1,848	205%
Avmed	$247 - $2,053	278%
Simply	$317 - $632	357%
Corvel Corporation	$381	429%
Prime Health	$389	438%
Careworks (Rockport Community)	$401	451%
Humana	$411 - $821	462%
Evolutions	$473 - $3,491	532%
Sunshine State Health Plan	$524 - $1,047	589%
Aetna	$617 - $1,232	694%
Molina Healthcare	$658 - $1,314	740%
Plotkin Health	$1,028 - $2,053	1156%
Prime Health Sheriff	$1,028 - $2,053	1156%
Hamilton County Jail	$1,110 - $2,218	1248%
Multiplan	$1,604 - $3,491	1804%
Ppo Next	$1,748 - $3,491	1966%
Novanet	$1,850 - $3,696	2081%

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 $3,081.
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 Lake City 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.