CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida West Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,343
Cash Discount Price: $3,426
vs. Medicare Baseline: 15.11x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida West Hospital is $1,343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,426. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 15.11x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$3,426

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,343

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: $3,426 (3853%)

Insurance Median: $1,343 (1511%)

Cash: $3,426 (3853% of Medicare)

Ins. Median: $1,343 (1511% 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 1511% of the Medicare baseline (a markup of 1411%). 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 - $1,850	205%
Freedom Health	$348 - $522	391%
Corvel Corporation	$420	472%
Simply	$422 - $633	475%
Prime Health	$429	483%
Careworks (Rockport Community)	$442	497%
Molina Healthcare	$521 - $1,315	586%
Humana	$548 - $822	616%
Avmed	$658 - $2,055	740%
Sunshine State Health Plan	$699 - $1,048	786%
Aetna	$823 - $1,233	926%
Plotkin Health	$1,371 - $2,055	1542%
Prime Health Sheriff	$1,371 - $2,055	1542%
Evolutions Healthcare	$1,783 - $3,494	2005%
Multiplan	$2,139 - $3,494	2406%
Evernorth	$2,194 - $3,288	2468%
Ppo Next	$2,331 - $3,494	2622%
Novanet	$2,468 - $3,699	2776%
Beacon Health Options	$2,742 - $4,110	3084%

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 $3,426.
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 West 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.