CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida North Florida Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $684
Cash Discount Price: $2,053
vs. Medicare Baseline: 7.69x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida North Florida Hospital is $684. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,053. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.69x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$2,053

Average discount available for prompt cash payment at this facility.

Insurance Median

$684

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: $2,053 (2309%)

Insurance Median: $684 (769%)

Cash: $2,053 (2309% of Medicare)

Ins. Median: $684 (769% 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 769% of the Medicare baseline (a markup of 669%). 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
Avmed	$164 - $1,369	184%
United	$182 - $1,232	205%
Simply	$211 - $422	237%
Molina Healthcare	$260 - $876	292%
Humana	$274 - $548	308%
Evolutions	$315 - $630	354%
Sunshine State Health Plan	$349 - $698	393%
Aetna	$410 - $822	461%
Corvel Corporation	$436	490%
Prime Health	$445	501%
Careworks (Rockport Community)	$459	516%
Plotkin Health	$684 - $1,369	769%
Prime Health Sheriff	$684 - $1,369	769%
Corizon Phs	$821 - $1,643	923%
Multiplan	$1,067 - $2,328	1200%
Evernorth	$1,094 - $2,191	1230%
Evolutions Healthcare	$1,163 - $2,328	1308%
Ppo Next	$1,163 - $2,328	1308%
Novanet	$1,231 - $2,464	1385%
Beacon Health Options	$1,368 - $2,738	1539%

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 $2,053.
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 North Florida 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.