CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida St Petersburg Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $764
Cash Discount Price: $3,793
vs. Medicare Baseline: 8.59x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida St Petersburg Hospital is $764. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,793. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.59x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.

Cash / Self-Pay

$3,793

Average discount available for prompt cash payment at this facility.

Insurance Median

$764

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: $3,793 (4266%)

Insurance Median: $764 (859%)

Cash: $3,793 (4266% of Medicare)

Ins. Median: $764 (859% 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 859% of the Medicare baseline (a markup of 759%). 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	$101 - $343	114%
Access 2 Healthcare Physicians Freedom Health	$155 - $526	174%
Access 2 Healthcare Physicians Optimum	$155 - $526	174%
Freedom Health Care	$168 - $570	189%
Optimum Healthcare	$168 - $570	189%
Avmed	$172 - $1,825	193%
United	$182 - $3,286	205%
Simply Healthcare	$332 - $1,124	373%
Molina	$410 - $1,971	461%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Evolutions Healthcare Systems	$496 - $6,717	558%
Sunshine State Health Plan	$550 - $1,862	619%
Humana	$604 - $2,044	679%
Aetna	$647 - $2,190	728%
Plotkin Health	$1,078 - $3,651	1212%
Prime Health Sheriff	$1,078 - $3,651	1212%
Multiplan	$1,617 - $6,206	1819%

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 $3,793.
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 St Petersburg 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.