CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Northwest Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $744
Cash Discount Price: $3,056
vs. Medicare Baseline: 8.37x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Northwest Hospital is $744. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,056. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.37x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$3,056

Average discount available for prompt cash payment at this facility.

Insurance Median

$744

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: $3,056 (3437%)

Insurance Median: $744 (837%)

Cash: $3,056 (3437% of Medicare)

Ins. Median: $744 (837% 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 837% of the Medicare baseline (a markup of 737%). 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
Freedom Health	$175 - $652	197%
Optimum	$175 - $351	197%
United	$182 - $1,834	205%
Avmed	$265 - $2,038	298%
Simply Healthcare Plans	$265 - $530	298%
Molina	$387 - $1,101	435%
Humana	$428 - $1,386	481%
Health Sun Health Plan	$434 - $868	488%
Corvel Corporation	$445	501%
Careworks (Rockport)	$455	512%
Prime Health	$455	512%
Mmm Of Fl (Health Advantage Plan)	$468 - $937	526%
United Ppo	$483 - $966	543%
Sunshine State Health Plan	$538 - $1,076	605%
Aetna	$611 - $1,223	687%
Blis	$713 - $1,427	802%
Plotkin Health	$1,018 - $2,038	1145%
Prime Health Sherriff	$1,018 - $2,038	1145%
Medica Healthcare	$1,181 - $2,364	1328%
Multiplan	$1,527 - $3,465	1717%

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 $3,056.
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 Northwest 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.