CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Northwest Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $961
Cash Discount Price: $3,949
vs. Medicare Baseline: 10.81x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Northwest Hospital is $961. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,949. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.81x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$3,949

Average discount available for prompt cash payment at this facility.

Insurance Median

$961

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: $3,949 (4442%)

Insurance Median: $961 (1081%)

Cash: $3,949 (4442% of Medicare)

Ins. Median: $961 (1081% 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 1081% of the Medicare baseline (a markup of 981%). 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 - $2,370	205%
Freedom Health	$226 - $843	254%
Optimum	$226 - $453	254%
Avmed	$342 - $2,633	385%
Simply Healthcare Plans	$342 - $685	385%
Corvel Corporation	$454	511%
Careworks (Rockport)	$463	521%
Prime Health	$463	521%
Molina	$500 - $1,422	562%
Humana	$553 - $1,790	622%
Health Sun Health Plan	$560 - $1,122	630%
Mmm Of Fl (Health Advantage Plan)	$605 - $1,211	680%
United Ppo	$624 - $1,248	702%
Sunshine State Health Plan	$695 - $1,390	782%
Aetna	$789 - $1,580	887%
Blis	$921 - $1,843	1036%
Plotkin Health	$1,316 - $2,633	1480%
Prime Health Sherriff	$1,316 - $2,633	1480%
Medica Healthcare	$1,526 - $3,054	1716%
Multiplan	$1,973 - $4,476	2219%

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 $3,949.
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 Northwest 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.