CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Trinity Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $930
Cash Discount Price: $3,742
vs. Medicare Baseline: 10.46x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Trinity Hospital is $930. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,742. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.46x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$3,742

Average discount available for prompt cash payment at this facility.

Insurance Median

$930

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: $3,742 (4209%)

Insurance Median: $930 (1046%)

Cash: $3,742 (4209% of Medicare)

Ins. Median: $930 (1046% 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 1046% of the Medicare baseline (a markup of 946%). 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	$163 - $188	183%
United	$182 - $1,805	205%
Access 2 Healthcare Physicians Freedom Health	$250 - $289	281%
Access 2 Healthcare Physicians Optimum	$250 - $289	281%
Freedom Health Care	$271 - $313	305%
Optimum Healthcare	$271 - $313	305%
Avmed	$278 - $1,003	313%
Corvel Corporation	$443	498%
Rockport Healthcare Group	$443	498%
Prime Health	$453	510%
Simply Healthcare	$535 - $618	602%
Molina	$660 - $1,083	742%
Evolutions Healthcare Systems	$799 - $3,690	899%
Sunshine State Health Plan	$886 - $1,023	997%
Humana	$973 - $1,123	1094%
Aetna	$1,042 - $1,203	1172%
Beacon Health Options	$1,737 - $2,005	1954%
Plotkin Health	$1,737 - $2,005	1954%
Prime Health Sheriff	$1,737 - $2,005	1954%
Multiplan	$2,606 - $3,409	2931%
Evernorth	$2,779 - $3,208	3126%

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 $3,742.
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 Trinity 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.