CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Orange Park Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $190
  • Cash Discount Price: $440
  • vs. Medicare Baseline: 2.14x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Orange Park Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $440. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.14x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$440

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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: $440 (495%)
Insurance Median: $190 (214%)
Cash: $440 (495% of Medicare)
Ins. Median: $190 (214% 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 214% of the Medicare baseline (a markup of 114%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Optimum Healthcare $37 42%
Avmed $53 - $123 60%
United $53 - $198 60%
Simply Healthcare $68 76%
Positive Healthcare $97 109%
Sunshine State Health Plan $112 126%
Molina Healthcare $119 134%
Aetna $132 148%
Humana $180 202%
Medicare (plans) $198 223%
Plotkin Health $220 247%
Multiplan $343 - $374 386%
Evernorth $352 396%
Evolutions Healthcare $352 - $374 396%
Ppo Next $374 421%
Novanet $396 445%
Corvel Corporation $434 488%
Prime Health $443 498%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals