CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida St Petersburg Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $882
Cash Discount Price: $3,599
vs. Medicare Baseline: 9.92x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida St Petersburg Hospital is $882. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,599. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.92x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.

Cash / Self-Pay

$3,599

Average discount available for prompt cash payment at this facility.

Insurance Median

$882

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: $3,599 (4048%)

Insurance Median: $882 (992%)

Cash: $3,599 (4048% of Medicare)

Ins. Median: $882 (992% 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 992% of the Medicare baseline (a markup of 892%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$137 - $445	154%
United	$182 - $4,258	205%
Access 2 Healthcare Physicians Freedom Health	$210 - $681	236%
Access 2 Healthcare Physicians Optimum	$210 - $681	236%
Freedom Health Care	$228 - $738	256%
Optimum Healthcare	$228 - $738	256%
Avmed	$234 - $2,366	263%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$450 - $1,457	506%
Molina	$555 - $2,555	624%
Evolutions Healthcare Systems	$672 - $8,706	756%
Sunshine State Health Plan	$745 - $2,413	838%
Humana	$818 - $2,650	920%
Aetna	$876 - $2,839	985%
Plotkin Health	$1,460 - $4,731	1642%
Prime Health Sheriff	$1,460 - $4,731	1642%
Multiplan	$2,190 - $8,043	2463%

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 $3,599.
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 St Petersburg 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.