CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Kendall Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,526
Cash Discount Price: $5,871
vs. Medicare Baseline: 17.16x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Kendall Hospital is $1,526. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,871. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 17.16x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$5,871

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,526

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: $5,871 (6603%)

Insurance Median: $1,526 (1716%)

Cash: $5,871 (6603% of Medicare)

Ins. Median: $1,526 (1716% 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 1716% of the Medicare baseline (a markup of 1616%). 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 - $2,642	205%
Corvel Corporation	$450	506%
Careworks (Rockport)	$460	517%
Prime Health	$460	517%
Freedom Health	$505 - $939	568%
Optimum	$505	568%
Avmed	$705 - $2,936	793%
Simply Healthcare Plans	$763	858%
Molina	$1,115 - $1,585	1254%
Humana	$1,233 - $1,996	1387%
Health Sun Health Plan	$1,251	1407%
Aids Healthcare	$1,292 - $7,045	1453%
Mmm Of Fl (Health Advantage Plan)	$1,350	1518%
United Ppo	$1,391	1565%
Sunshine State Health Plan	$1,526	1716%
Aetna	$1,761	1981%
Plotkin Health	$2,936	3302%
Prime Health Sherriff	$2,936	3302%
Medica Healthcare	$3,405	3830%
Multiplan	$4,403 - $4,990	4952%
Evernorth Bh	$4,697	5283%

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 $5,871.
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 Kendall 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.