CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Mercy Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $446
Cash Discount Price: $1,714
vs. Medicare Baseline: 5.02x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Mercy Hospital is $446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,714. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.02x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$1,714

Average discount available for prompt cash payment at this facility.

Insurance Median

$446

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: $1,714 (1928%)

Insurance Median: $446 (502%)

Cash: $1,714 (1928% of Medicare)

Ins. Median: $446 (502% 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 502% of the Medicare baseline (a markup of 402%). 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	$139 - $290	156%
Optimum	$139 - $156	156%
United	$182 - $814	205%
Avmed	$194 - $905	218%
Simply Healthcare Plans	$210 - $235	236%
Molina	$307 - $489	345%
Humana	$340 - $615	382%
Health Sun Health Plan	$345 - $386	388%
Aids Healthcare	$356 - $2,172	400%
Mmm Of Fl (Health Advantage Plan)	$372 - $416	418%
United Ppo	$383 - $429	431%
Sunshine State Health Plan	$421 - $471	474%
Corvel Corporation	$442	497%
Careworks (Rockport)	$451	507%
Prime Health	$451	507%
Aetna	$485 - $543	545%
Plotkin Health	$809 - $905	910%
Prime Health Sherriff	$809 - $905	910%
Medica Healthcare	$955 - $1,068	1074%
Multiplan	$1,214 - $1,538	1365%
Evernorth Bh	$1,294 - $1,448	1455%

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 $1,714.
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 Mercy 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.