CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida North Florida Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $928
Cash Discount Price: $2,785
vs. Medicare Baseline: 10.44x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida North Florida Hospital is $928. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,785. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.44x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$2,785

Average discount available for prompt cash payment at this facility.

Insurance Median

$928

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: $2,785 (3132%)

Insurance Median: $928 (1044%)

Cash: $2,785 (3132% of Medicare)

Ins. Median: $928 (1044% 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 1044% of the Medicare baseline (a markup of 944%). 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 - $1,672	205%
Avmed	$223 - $1,857	251%
Simply	$286 - $572	322%
Molina Healthcare	$353 - $1,189	397%
Humana	$371 - $743	417%
Evolutions	$427 - $854	480%
Corvel Corporation	$436	490%
Prime Health	$445	501%
Careworks (Rockport Community)	$459	516%
Sunshine State Health Plan	$473 - $947	532%
Aetna	$557 - $1,114	626%
Plotkin Health	$928 - $1,857	1044%
Prime Health Sheriff	$928 - $1,857	1044%
Corizon Phs	$1,114 - $2,229	1253%
Multiplan	$1,448 - $3,157	1629%
Evernorth	$1,485 - $2,972	1670%
Evolutions Healthcare	$1,578 - $3,157	1775%
Ppo Next	$1,578 - $3,157	1775%
Novanet	$1,671 - $3,343	1879%
Beacon Health Options	$1,857 - $3,714	2089%

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 $2,785.
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 North Florida 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.