CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida North Florida Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,207
Cash Discount Price: $3,622
vs. Medicare Baseline: 13.58x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida North Florida Hospital is $1,207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,622. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.58x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$3,622

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,207

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: $3,622 (4074%)

Insurance Median: $1,207 (1358%)

Cash: $3,622 (4074% of Medicare)

Ins. Median: $1,207 (1358% 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 1358% of the Medicare baseline (a markup of 1258%). 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 - $2,173	205%
Avmed	$290 - $2,415	326%
Simply	$372 - $744	418%
Corvel Corporation	$428	481%
Prime Health	$437	492%
Careworks (Rockport Community)	$451	507%
Molina Healthcare	$459 - $1,545	516%
Humana	$483 - $966	543%
Evolutions	$555 - $1,111	624%
Sunshine State Health Plan	$615 - $1,232	692%
Aetna	$724 - $1,449	814%
Plotkin Health	$1,207 - $2,415	1358%
Prime Health Sheriff	$1,207 - $2,415	1358%
Corizon Phs	$1,448 - $2,898	1629%
Multiplan	$1,883 - $4,105	2118%
Evernorth	$1,931 - $3,864	2172%
Evolutions Healthcare	$2,052 - $4,105	2308%
Ppo Next	$2,052 - $4,105	2308%
Novanet	$2,172 - $4,347	2443%
Beacon Health Options	$2,414 - $4,830	2715%

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 $3,622.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

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 73130.
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.