CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Orange Park Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,225
Cash Discount Price: $3,408
vs. Medicare Baseline: 13.78x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Orange Park Hospital is $1,225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,408. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.78x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$3,408

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,225

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: $3,408 (3833%)

Insurance Median: $1,225 (1378%)

Cash: $3,408 (3833% of Medicare)

Ins. Median: $1,225 (1378% 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 1378% of the Medicare baseline (a markup of 1278%). 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 - $1,615	205%
Optimum Healthcare	$229 - $301	258%
Avmed	$327 - $1,005	368%
Simply Healthcare	$419 - $553	471%
Corvel Corporation	$437	492%
Prime Health	$446	502%
Positive Healthcare	$599 - $790	674%
Sunshine State Health Plan	$694 - $915	781%
Molina Healthcare	$735 - $969	827%
Aetna	$817 - $1,077	919%
Humana	$1,116 - $1,471	1255%
Medicare (plans)	$1,225 - $1,615	1378%
Plotkin Health	$1,361 - $1,795	1531%
Multiplan	$2,123 - $3,051	2388%
Evernorth	$2,178 - $2,871	2450%
Evolutions Healthcare	$2,178 - $3,051	2450%
Ppo Next	$2,314 - $3,051	2603%
Novanet	$2,450 - $3,230	2756%

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 $3,408.
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 Orange Park 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.