CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Lake City Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,148
Cash Discount Price: $3,196
vs. Medicare Baseline: 12.91x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Lake City Hospital is $1,148. 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 12.91x 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

$1,148

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: $1,148 (1291%)

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

Ins. Median: $1,148 (1291% 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 1291% of the Medicare baseline (a markup of 1191%). 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 - $1,842	205%
Avmed	$276 - $2,047	310%
Simply	$354 - $630	398%
Corvel Corporation	$411	462%
Prime Health	$420	472%
Careworks (Rockport Community)	$433	487%
Humana	$460 - $819	517%
Evolutions	$529 - $3,480	595%
Sunshine State Health Plan	$586 - $1,044	659%
Aetna	$690 - $1,228	776%
Molina Healthcare	$736 - $1,310	828%
Plotkin Health	$1,149 - $2,047	1292%
Prime Health Sheriff	$1,149 - $2,047	1292%
Hamilton County Jail	$1,241 - $2,211	1396%
Multiplan	$1,793 - $3,480	2017%
Ppo Next	$1,954 - $3,480	2198%
Novanet	$2,069 - $3,684	2327%

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: 73030.

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 73030.
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.