CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Fawcett Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $897
Cash Discount Price: $4,255
vs. Medicare Baseline: 10.09x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Fawcett Hospital is $897. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,255. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.09x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$4,255

Average discount available for prompt cash payment at this facility.

Insurance Median

$897

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: $4,255 (4786%)

Insurance Median: $897 (1009%)

Cash: $4,255 (4786% of Medicare)

Ins. Median: $897 (1009% 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 1009% of the Medicare baseline (a markup of 909%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$138 - $262	155%
United	$182 - $2,510	205%
Access 2 Healthcare Physicians Freedom Health	$211 - $402	237%
Access 2 Healthcare Physicians Optimum	$211 - $402	237%
Freedom Health Care	$229 - $435	258%
Optimum Healthcare	$229 - $435	258%
Avmed	$235 - $1,394	264%
Corvel Corporation	$406	457%
Rockport Healthcare Group	$406	457%
Prime Health	$415	467%
Simply Healthcare	$452 - $859	508%
Molina	$557 - $1,506	626%
Evolutions Healthcare Systems	$674 - $5,131	758%
Sunshine State Health Plan	$748 - $1,422	841%
Humana	$821 - $1,562	923%
Aetna	$880 - $1,673	990%
Behealthy America	$1,144 - $2,175	1287%
Healthcare Sarasota	$1,466 - $2,789	1649%
Plotkin Health	$1,466 - $2,789	1649%
Prime Health Sheriff	$1,466 - $2,789	1649%
Multiplan	$2,199 - $4,741	2473%

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 $4,255.
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 Fawcett 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.