CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida West Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,288
Cash Discount Price: $3,285
vs. Medicare Baseline: 14.49x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida West Hospital is $1,288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,285. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.49x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$3,285

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,288

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: $3,285 (3695%)

Insurance Median: $1,288 (1449%)

Cash: $3,285 (3695% of Medicare)

Ins. Median: $1,288 (1449% 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 1449% of the Medicare baseline (a markup of 1349%). 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 - $1,772	205%
Freedom Health	$334 - $500	376%
Corvel Corporation	$397	447%
Prime Health	$405	456%
Simply	$405 - $607	456%
Careworks (Rockport Community)	$418	470%
Molina Healthcare	$500 - $1,260	562%
Humana	$526 - $788	592%
Avmed	$632 - $1,969	711%
Sunshine State Health Plan	$671 - $1,004	755%
Aetna	$790 - $1,182	889%
Plotkin Health	$1,316 - $1,969	1480%
Prime Health Sheriff	$1,316 - $1,969	1480%
Evolutions Healthcare	$1,711 - $3,348	1924%
Multiplan	$2,053 - $3,348	2309%
Evernorth	$2,105 - $3,151	2368%
Ppo Next	$2,237 - $3,348	2516%
Novanet	$2,368 - $3,545	2663%
Beacon Health Options	$2,632 - $3,938	2960%

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 $3,285.
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 West 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.