CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Northwest Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$464

about 5.2× the $89 Medicare rate · typically $77–$536

modeled estimate · not a bill or quote

What this hospital charges insurers

$485

About the fair price

about $21 over the fair price · 5.4× Medicare

Medicare pays $89 Fair price $464 This hospital $485 Cash price $4,762 Hospital's list price $4,762

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $16 Priciest $485

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, shoulder is about $464 (about 5.2× the $89 Medicare rate). HCA Florida Northwest Hospital charges insurers about $485, or about $4,762 in cash — about the fair price. Located in Margate, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$182 - $2,857	205%
Aetnamajor	$952 - $1,905	1071%
Humanamajor	$667 - $2,159	750%
AvMed	$413 - $3,174	465%
Medica	$1,841 - $3,682	2071%
Molina	$603 - $1,714	678%
Simply Healthcare	$413 - $825	465%
+ 7 smaller / regional plans	$273 - $3,174

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 4,762), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73030.

Insurance Before you use insurance

Call your insurance company to confirm HCA Florida Northwest Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73030.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at HCA Florida Northwest Hospital

Compare: X-ray, shoulder at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.