CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $963
Cash Discount Price: $2,839
vs. Medicare Baseline: 10.83x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Memorial Hospital is $963. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,839. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.83x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$2,839

Average discount available for prompt cash payment at this facility.

Insurance Median

$963

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: $2,839 (3193%)

Insurance Median: $963 (1083%)

Cash: $2,839 (3193% of Medicare)

Ins. Median: $963 (1083% 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 1083% of the Medicare baseline (a markup of 983%). 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	$164 - $313	184%
United	$182 - $1,677	205%
Avmed	$234 - $1,043	263%
Simply Healthcare	$301 - $574	339%
City Of Jacksonville	$413	465%
Corvel Corporation	$413	465%
Prime Health	$422	475%
Positive Healthcare	$429 - $820	483%
Sunshine State Health Plan	$498 - $950	560%
Molina Healthcare	$527 - $1,006	593%
Centurion	$541 - $1,032	608%
Humana	$566 - $1,081	637%
Aetna	$586 - $1,118	659%
Corizon	$586 - $1,118	659%
Plotkin Health	$976 - $1,863	1098%
Multiplan	$1,523 - $3,167	1713%
Evernorth	$1,562 - $2,981	1757%
Evolutions Healthcare	$1,562 - $3,167	1757%
Ppo Next	$1,659 - $3,167	1866%
Novanet	$1,757 - $3,353	1976%

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 $2,839.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.