CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Northwest Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,159
Cash Discount Price: $4,762
vs. Medicare Baseline: 13.04x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Northwest Hospital is $1,159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,762. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.04x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$4,762

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,159

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: $4,762 (5356%)

Insurance Median: $1,159 (1304%)

Cash: $4,762 (5356% of Medicare)

Ins. Median: $1,159 (1304% 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 1304% of the Medicare baseline (a markup of 1204%). 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 - $2,857	205%
Freedom Health	$273 - $1,016	307%
Optimum	$273 - $546	307%
Avmed	$413 - $3,174	465%
Simply Healthcare Plans	$413 - $825	465%
Corvel Corporation	$480	540%
Careworks (Rockport)	$490	551%
Prime Health	$490	551%
Molina	$603 - $1,714	678%
Humana	$667 - $2,159	750%
Health Sun Health Plan	$676 - $1,352	760%
Mmm Of Fl (Health Advantage Plan)	$730 - $1,460	821%
United Ppo	$752 - $1,505	846%
Sunshine State Health Plan	$838 - $1,676	943%
Aetna	$952 - $1,905	1071%
Blis	$1,111 - $2,222	1250%
Plotkin Health	$1,587 - $3,174	1785%
Prime Health Sherriff	$1,587 - $3,174	1785%
Medica Healthcare	$1,841 - $3,682	2071%
Multiplan	$2,380 - $5,397	2677%

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 $4,762.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.