CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida St Petersburg Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $941
Cash Discount Price: $4,182
vs. Medicare Baseline: 10.58x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida St Petersburg Hospital is $941. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,182. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.58x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.

Cash / Self-Pay

$4,182

Average discount available for prompt cash payment at this facility.

Insurance Median

$941

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: $4,182 (4704%)

Insurance Median: $941 (1058%)

Cash: $4,182 (4704% of Medicare)

Ins. Median: $941 (1058% 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 1058% of the Medicare baseline (a markup of 958%). 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
United	$182 - $1,882	205%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$197	222%
Access 2 Healthcare Physicians Freedom Health	$301	339%
Access 2 Healthcare Physicians Optimum	$301	339%
Freedom Health Care	$326	367%
Optimum Healthcare	$326	367%
Avmed	$335 - $1,046	377%
Corvel Corporation	$441	496%
Rockport Healthcare Group	$441	496%
Prime Health	$450	506%
Simply Healthcare	$644	724%
Molina	$795 - $1,129	894%
Evolutions Healthcare Systems	$962 - $3,847	1082%
Sunshine State Health Plan	$1,066	1199%
Humana	$1,171	1317%
Aetna	$1,255	1412%
Plotkin Health	$2,091	2352%
Prime Health Sheriff	$2,091	2352%
Multiplan	$3,137 - $3,555	3528%

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 $4,182.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.