CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Trinity Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $860
Cash Discount Price: $3,408
vs. Medicare Baseline: 9.67x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Trinity Hospital is $860. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,408. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.67x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$3,408

Average discount available for prompt cash payment at this facility.

Insurance Median

$860

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: $3,408 (3833%)

Insurance Median: $860 (967%)

Cash: $3,408 (3833% of Medicare)

Ins. Median: $860 (967% 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 967% of the Medicare baseline (a markup of 867%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$154 - $166	173%
United	$182 - $1,590	205%
Access 2 Healthcare Physicians Freedom Health	$236 - $254	265%
Access 2 Healthcare Physicians Optimum	$236 - $254	265%
Freedom Health Care	$256 - $276	288%
Optimum Healthcare	$256 - $276	288%
Avmed	$263 - $883	296%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$505 - $544	568%
Molina	$624 - $954	702%
Evolutions Healthcare Systems	$755 - $3,251	849%
Sunshine State Health Plan	$837 - $901	941%
Humana	$919 - $989	1034%
Aetna	$985 - $1,060	1108%
Beacon Health Options	$1,641 - $1,767	1846%
Plotkin Health	$1,641 - $1,767	1846%
Prime Health Sheriff	$1,641 - $1,767	1846%
Multiplan	$2,462 - $3,004	2769%
Evernorth	$2,626 - $2,827	2954%

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 $3,408.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Trinity Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
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.