CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,919
Cash Discount Price: $3,822
vs. Medicare Baseline: 21.58x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Fort Walton-Destin Hospital is $1,919. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,822. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 21.58x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$3,822

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,919

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: $3,822 (4299%)

Insurance Median: $1,919 (2158%)

Cash: $3,822 (4299% of Medicare)

Ins. Median: $1,919 (2158% 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 2158% of the Medicare baseline (a markup of 2058%). 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 - $3,599	205%
Simply	$389 - $1,232	438%
Corvel Corporation	$442	497%
Prime Health	$451	507%
Careworks (Rockport Community)	$465	523%
Molina Healthcare	$480 - $2,559	540%
Avmed	$607 - $3,998	683%
Sunshine State Health Plan	$644 - $2,039	724%
Aetna	$758 - $2,399	853%
Humana	$960 - $3,039	1080%
Plotkin Health	$1,264 - $3,998	1422%
Prime Health Sheriff	$1,264 - $3,998	1422%
Evolutions Healthcare	$1,643 - $7,197	1848%
Naphcare	$1,643 - $5,198	1848%
Multiplan	$1,971 - $6,797	2217%
Evernorth	$2,022 - $6,398	2274%
Ppo Next	$2,148 - $6,797	2416%
Novanet	$2,275 - $7,197	2559%
Beacon Health Options	$2,527 - $7,997	2842%

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 $3,822.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.