CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $2,176
Cash Discount Price: $4,329
vs. Medicare Baseline: 24.47x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Fort Walton-Destin Hospital is $2,176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,329. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 24.47x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$4,329

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,176

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: $4,329 (4869%)

Insurance Median: $2,176 (2447%)

Cash: $4,329 (4869% of Medicare)

Ins. Median: $2,176 (2447% 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 2447% of the Medicare baseline (a markup of 2347%). 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 - $4,080	205%
Corvel Corporation	$417	469%
Prime Health	$426	479%
Simply	$437 - $1,396	492%
Careworks (Rockport Community)	$439	494%
Molina Healthcare	$539 - $2,901	606%
Avmed	$681 - $4,533	766%
Sunshine State Health Plan	$723 - $2,312	813%
Aetna	$851 - $2,720	957%
Humana	$1,078 - $3,445	1212%
Plotkin Health	$1,418 - $4,533	1595%
Prime Health Sheriff	$1,418 - $4,533	1595%
Evolutions Healthcare	$1,843 - $8,159	2073%
Naphcare	$1,843 - $5,893	2073%
Multiplan	$2,212 - $7,706	2488%
Evernorth	$2,269 - $7,253	2552%
Ppo Next	$2,410 - $7,706	2711%
Novanet	$2,552 - $8,159	2870%
Beacon Health Options	$2,836 - $9,066	3190%

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 $4,329.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Fort Walton-Destin Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
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.