CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Putnam Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $592
Cash Discount Price: $2,441
vs. Medicare Baseline: 6.66x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Putnam Hospital is $592. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,441. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.66x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$2,441

Average discount available for prompt cash payment at this facility.

Insurance Median

$592

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: $2,441 (2745%)

Insurance Median: $592 (666%)

Cash: $2,441 (2745% of Medicare)

Ins. Median: $592 (666% 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 666% of the Medicare baseline (a markup of 566%). 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 - $1,099	205%
Avmed	$293 - $1,221	330%
Simply	$376	423%
Corvel Corporation	$411	462%
Humana	$415	467%
Prime Health	$420	472%
Careworks (Rockport Community)	$433	487%
Molina Healthcare	$464 - $781	522%
Evolutions	$561	631%
Sunshine State Health Plan	$623	701%
Aetna	$732	823%
Plotkin Health	$1,221	1373%
Prime Health Sheriff	$1,221	1373%
Multiplan	$1,904 - $2,075	2141%

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 $2,441.
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 Putnam 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.