CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $990
Cash Discount Price: $3,851
vs. Medicare Baseline: 11.13x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Sarasota Doctors Hospital is $990. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,851. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.13x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.

Cash / Self-Pay

$3,851

Average discount available for prompt cash payment at this facility.

Insurance Median

$990

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: $3,851 (4331%)

Insurance Median: $990 (1113%)

Cash: $3,851 (4331% of Medicare)

Ins. Median: $990 (1113% 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 1113% of the Medicare baseline (a markup of 1013%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$121 - $241	136%
United	$182 - $2,304	205%
Access 2 Healthcare Physicians Freedom Health	$186 - $369	209%
Access 2 Healthcare Physicians Optimum	$186 - $369	209%
Freedom Health Care	$201 - $399	226%
Optimum Healthcare	$201 - $399	226%
Avmed	$207 - $1,280	233%
Simply Healthcare	$398 - $789	448%
Corvel Corporation	$411	462%
Rockport Healthcare Group	$411	462%
Prime Health	$420	472%
Molina	$491 - $1,382	552%
Evolutions Healthcare Systems	$594 - $4,711	668%
Sunshine State Health Plan	$658 - $1,306	740%
Humana	$723 - $1,434	813%
Aetna	$775 - $1,536	872%
Behealthy America	$1,007 - $1,997	1133%
Beacon Health Options	$1,291 - $2,560	1452%
Healthcare Sarasota	$1,291 - $2,560	1452%
Plotkin Health	$1,291 - $2,560	1452%
Prime Health Sheriff	$1,291 - $2,560	1452%
Multiplan	$1,937 - $4,352	2179%
Evernorth	$2,066 - $4,096	2324%

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 $3,851.
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 Sarasota Doctors 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.