CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Mercy Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $376
Cash Discount Price: $1,372
vs. Medicare Baseline: 4.23x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Mercy Hospital is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,372. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.23x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$1,372

Average discount available for prompt cash payment at this facility.

Insurance Median

$376

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: $1,372 (1543%)

Insurance Median: $376 (423%)

Cash: $1,372 (1543% of Medicare)

Ins. Median: $376 (423% 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 423% of the Medicare baseline (a markup of 323%). 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
Freedom Health	$112 - $231	126%
Optimum	$112 - $124	126%
Avmed	$156 - $722	175%
Simply Healthcare Plans	$169 - $188	190%
United	$182 - $650	205%
Molina	$247 - $390	278%
Humana	$273 - $491	307%
Health Sun Health Plan	$277 - $308	312%
Aids Healthcare	$286 - $1,734	322%
Mmm Of Fl (Health Advantage Plan)	$299 - $332	336%
United Ppo	$308 - $342	346%
Sunshine State Health Plan	$338 - $376	380%
Aetna	$390 - $434	439%
Corvel Corporation	$450	506%
Careworks (Rockport)	$460	517%
Prime Health	$460	517%
Plotkin Health	$650 - $722	731%
Prime Health Sherriff	$650 - $722	731%
Medica Healthcare	$766 - $853	862%
Multiplan	$974 - $1,228	1095%
Evernorth Bh	$1,039 - $1,156	1169%

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 $1,372.
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 Mercy 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.