CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida West Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,271
Cash Discount Price: $3,129
vs. Medicare Baseline: 14.30x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida West Hospital is $1,271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,129. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.30x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$3,129

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,271

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: $3,129 (3519%)

Insurance Median: $1,271 (1430%)

Cash: $3,129 (3519% of Medicare)

Ins. Median: $1,271 (1430% 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 1430% of the Medicare baseline (a markup of 1330%). 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 - $1,612	205%
Freedom Health	$340 - $455	382%
Corvel Corporation	$389	438%
Prime Health	$398	448%
Careworks (Rockport Community)	$410	461%
Simply	$412 - $552	463%
Molina Healthcare	$508 - $1,147	571%
Humana	$535 - $717	602%
Avmed	$642 - $1,792	722%
Sunshine State Health Plan	$682 - $914	767%
Aetna	$803 - $1,075	903%
Plotkin Health	$1,338 - $1,792	1505%
Prime Health Sheriff	$1,338 - $1,792	1505%
Evolutions Healthcare	$1,739 - $3,046	1956%
Multiplan	$2,087 - $3,046	2347%
Evernorth	$2,140 - $2,867	2407%
Ppo Next	$2,274 - $3,046	2558%
Novanet	$2,408 - $3,225	2708%
Beacon Health Options	$2,676 - $3,583	3010%

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 $3,129.
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 West 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.