CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Trinity Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $865
Cash Discount Price: $3,427
vs. Medicare Baseline: 9.73x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Trinity Hospital is $865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,427. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.73x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$3,427

Average discount available for prompt cash payment at this facility.

Insurance Median

$865

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: $3,427 (3854%)

Insurance Median: $865 (973%)

Cash: $3,427 (3854% of Medicare)

Ins. Median: $865 (973% 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 973% of the Medicare baseline (a markup of 873%). 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	$159 - $163	179%
United	$182 - $1,558	205%
Access 2 Healthcare Physicians Freedom Health	$244 - $249	274%
Access 2 Healthcare Physicians Optimum	$244 - $249	274%
Freedom Health Care	$265 - $270	298%
Optimum Healthcare	$265 - $270	298%
Avmed	$271 - $866	305%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$522 - $533	587%
Molina	$644 - $935	724%
Evolutions Healthcare Systems	$780 - $3,186	877%
Sunshine State Health Plan	$865 - $883	973%
Humana	$950 - $970	1068%
Aetna	$1,017 - $1,039	1144%
Beacon Health Options	$1,696 - $1,731	1908%
Plotkin Health	$1,696 - $1,731	1908%
Prime Health Sheriff	$1,696 - $1,731	1908%
Multiplan	$2,544 - $2,943	2861%
Evernorth	$2,713 - $2,770	3051%

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 $3,427.
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 Trinity 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.