CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $965
Cash Discount Price: $2,835
vs. Medicare Baseline: 10.85x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Memorial Hospital is $965. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,835. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.85x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$2,835

Average discount available for prompt cash payment at this facility.

Insurance Median

$965

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: $2,835 (3189%)

Insurance Median: $965 (1085%)

Cash: $2,835 (3189% of Medicare)

Ins. Median: $965 (1085% 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 1085% of the Medicare baseline (a markup of 985%). 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
Optimum Healthcare	$166 - $310	187%
United	$182 - $1,660	205%
Avmed	$238 - $1,033	268%
Simply Healthcare	$305 - $568	343%
City Of Jacksonville	$413	465%
Corvel Corporation	$413	465%
Prime Health	$422	475%
Positive Healthcare	$436 - $811	490%
Sunshine State Health Plan	$505 - $940	568%
Molina Healthcare	$535 - $996	602%
Centurion	$549 - $1,021	617%
Humana	$574 - $1,070	646%
Aetna	$594 - $1,106	668%
Corizon	$594 - $1,106	668%
Plotkin Health	$990 - $1,844	1113%
Multiplan	$1,545 - $3,135	1738%
Evernorth	$1,585 - $2,950	1783%
Evolutions Healthcare	$1,585 - $3,135	1783%
Ppo Next	$1,684 - $3,135	1894%
Novanet	$1,783 - $3,319	2005%

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 $2,835.
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 Memorial 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.