CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida North Florida Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $321
Cash Discount Price: $642
vs. Medicare Baseline: 3.61x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida North Florida Hospital is $321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $642. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.61x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$642

Average discount available for prompt cash payment at this facility.

Insurance Median

$321

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: $642 (722%)

Insurance Median: $321 (361%)

Cash: $642 (722% of Medicare)

Ins. Median: $321 (361% 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 361% of the Medicare baseline (a markup of 261%). 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	$77 - $321	87%
United	$96 - $289	108%
Simply	$99	111%
Molina Healthcare	$122 - $205	137%
Humana	$128	144%
Evolutions	$148	166%
Sunshine State Health Plan	$164	184%
Aetna	$192	216%
Plotkin Health	$321	361%
Prime Health Sheriff	$321	361%
Corizon Phs	$385	433%
Corvel Corporation	$458	515%
Prime Health	$468	526%
Careworks (Rockport Community)	$483	543%
Multiplan	$500 - $545	562%
Evernorth	$513	577%
Evolutions Healthcare	$545	613%
Ppo Next	$545	613%
Novanet	$577	649%
Beacon Health Options	$642	722%

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 $642.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.