CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Orange Park Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,086
Cash Discount Price: $2,726
vs. Medicare Baseline: 12.21x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Orange Park Hospital is $1,086. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,726. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.21x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$2,726

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,086

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: $2,726 (3066%)

Insurance Median: $1,086 (1221%)

Cash: $2,726 (3066% of Medicare)

Ins. Median: $1,086 (1221% 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 1221% of the Medicare baseline (a markup of 1121%). 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 - $1,372	205%
Optimum Healthcare	$203 - $256	228%
Avmed	$290 - $853	326%
Simply Healthcare	$372 - $469	418%
Corvel Corporation	$405	456%
Prime Health	$414	466%
Positive Healthcare	$531 - $671	597%
Sunshine State Health Plan	$615 - $777	692%
Molina Healthcare	$652 - $823	733%
Aetna	$724 - $914	814%
Humana	$989 - $1,250	1112%
Medicare (plans)	$1,086 - $1,372	1221%
Plotkin Health	$1,207 - $1,524	1358%
Multiplan	$1,882 - $2,591	2117%
Evernorth	$1,931 - $2,438	2172%
Evolutions Healthcare	$1,931 - $2,591	2172%
Ppo Next	$2,051 - $2,591	2307%
Novanet	$2,172 - $2,743	2443%

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 $2,726.
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 Orange Park 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.