CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Kendall Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $850
Cash Discount Price: $3,269
vs. Medicare Baseline: 9.56x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Kendall Hospital is $850. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,269. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.56x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$3,269

Average discount available for prompt cash payment at this facility.

Insurance Median

$850

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: $3,269 (3677%)

Insurance Median: $850 (956%)

Cash: $3,269 (3677% of Medicare)

Ins. Median: $850 (956% 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 956% of the Medicare baseline (a markup of 856%). 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 - $1,471	205%
Freedom Health	$281 - $523	316%
Optimum	$281	316%
Avmed	$392 - $1,634	441%
Simply Healthcare Plans	$425	478%
Corvel Corporation	$442	497%
Careworks (Rockport)	$451	507%
Prime Health	$451	507%
Molina	$621 - $883	698%
Humana	$686 - $1,111	772%
Health Sun Health Plan	$696	783%
Aids Healthcare	$719 - $3,923	809%
Mmm Of Fl (Health Advantage Plan)	$752	846%
United Ppo	$775	872%
Sunshine State Health Plan	$850	956%
Aetna	$981	1103%
Plotkin Health	$1,634	1838%
Prime Health Sherriff	$1,634	1838%
Medica Healthcare	$1,896	2132%
Multiplan	$2,452 - $2,779	2758%
Evernorth Bh	$2,615	2941%

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 $3,269.
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 Kendall 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.