CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $2,201
Cash Discount Price: $4,140
vs. Medicare Baseline: 24.76x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Fort Walton-Destin Hospital is $2,201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,140. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 24.76x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$4,140

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,201

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: $4,140 (4656%)

Insurance Median: $2,201 (2476%)

Cash: $4,140 (4656% of Medicare)

Ins. Median: $2,201 (2476% 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 2476% of the Medicare baseline (a markup of 2376%). 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 - $4,011	205%
Corvel Corporation	$417	469%
Prime Health	$426	479%
Careworks (Rockport Community)	$439	494%
Simply	$447 - $1,373	503%
Molina Healthcare	$552 - $2,852	621%
Avmed	$697 - $4,457	784%
Sunshine State Health Plan	$740 - $2,273	832%
Aetna	$871 - $2,674	980%
Humana	$1,103 - $3,387	1241%
Plotkin Health	$1,452 - $4,457	1633%
Prime Health Sheriff	$1,452 - $4,457	1633%
Evolutions Healthcare	$1,888 - $8,023	2123%
Naphcare	$1,888 - $5,794	2123%
Multiplan	$2,265 - $7,577	2548%
Evernorth	$2,323 - $7,131	2613%
Ppo Next	$2,468 - $7,577	2776%
Novanet	$2,613 - $8,023	2939%
Beacon Health Options	$2,904 - $8,914	3266%

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 $4,140.
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 Fort Walton-Destin 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.