CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,743
Cash Discount Price: $3,362
vs. Medicare Baseline: 19.60x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Fort Walton-Destin Hospital is $1,743. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,362. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 19.60x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$3,362

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,743

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: $3,362 (3781%)

Insurance Median: $1,743 (1960%)

Cash: $3,362 (3781% of Medicare)

Ins. Median: $1,743 (1960% 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 1960% of the Medicare baseline (a markup of 1860%). 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 - $3,268	205%
Simply	$327 - $1,118	368%
Molina Healthcare	$404 - $2,324	454%
Corvel Corporation	$410	461%
Prime Health	$418	470%
Careworks (Rockport Community)	$431	485%
Avmed	$510 - $3,632	574%
Sunshine State Health Plan	$542 - $1,852	610%
Aetna	$638 - $2,179	718%
Humana	$808 - $2,760	909%
Plotkin Health	$1,063 - $3,632	1196%
Prime Health Sheriff	$1,063 - $3,632	1196%
Evolutions Healthcare	$1,382 - $6,537	1554%
Naphcare	$1,382 - $4,721	1554%
Multiplan	$1,658 - $6,174	1865%
Evernorth	$1,701 - $5,810	1913%
Ppo Next	$1,807 - $6,174	2032%
Novanet	$1,914 - $6,537	2153%
Beacon Health Options	$2,126 - $7,263	2391%

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 $3,362.
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 Fort Walton-Destin 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.