CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $943
Cash Discount Price: $2,769
vs. Medicare Baseline: 10.61x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Memorial Hospital is $943. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,769. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.61x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$2,769

Average discount available for prompt cash payment at this facility.

Insurance Median

$943

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: $2,769 (3114%)

Insurance Median: $943 (1061%)

Cash: $2,769 (3114% of Medicare)

Ins. Median: $943 (1061% 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 1061% of the Medicare baseline (a markup of 961%). 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	$163 - $302	183%
United	$182 - $1,617	205%
Avmed	$233 - $1,006	262%
Simply Healthcare	$299 - $553	336%
City Of Jacksonville	$405	456%
Corvel Corporation	$405	456%
Prime Health	$414	466%
Positive Healthcare	$428 - $790	481%
Sunshine State Health Plan	$496 - $916	558%
Molina Healthcare	$525 - $970	590%
Centurion	$538 - $995	605%
Humana	$564 - $1,042	634%
Aetna	$583 - $1,078	656%
Corizon	$583 - $1,078	656%
Plotkin Health	$972 - $1,796	1093%
Multiplan	$1,516 - $3,054	1705%
Evernorth	$1,555 - $2,874	1749%
Evolutions Healthcare	$1,555 - $3,054	1749%
Ppo Next	$1,652 - $3,054	1858%
Novanet	$1,750 - $3,234	1968%

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 $2,769.
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 Memorial 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.