CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Orange Park Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,107
Cash Discount Price: $3,198
vs. Medicare Baseline: 12.45x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Orange Park Hospital is $1,107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,198. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.45x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$3,198

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,107

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: $3,198 (3597%)

Insurance Median: $1,107 (1245%)

Cash: $3,198 (3597% of Medicare)

Ins. Median: $1,107 (1245% 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 1245% of the Medicare baseline (a markup of 1145%). 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 - $1,473	205%
Optimum Healthcare	$207 - $275	233%
Avmed	$295 - $917	332%
Simply Healthcare	$379 - $504	426%
Corvel Corporation	$413	465%
Prime Health	$422	475%
Positive Healthcare	$541 - $720	608%
Sunshine State Health Plan	$627 - $835	705%
Molina Healthcare	$664 - $884	747%
Aetna	$738 - $982	830%
Humana	$1,009 - $1,342	1135%
Medicare (plans)	$1,107 - $1,473	1245%
Plotkin Health	$1,230 - $1,637	1383%
Multiplan	$1,919 - $2,783	2158%
Evernorth	$1,968 - $2,619	2213%
Evolutions Healthcare	$1,968 - $2,783	2213%
Ppo Next	$2,091 - $2,783	2352%
Novanet	$2,214 - $2,947	2490%

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 $3,198.
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 Orange Park 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.