CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Fawcett Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $858
Cash Discount Price: $4,065
vs. Medicare Baseline: 9.65x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Fawcett Hospital is $858. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,065. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.65x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$4,065

Average discount available for prompt cash payment at this facility.

Insurance Median

$858

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: $4,065 (4572%)

Insurance Median: $858 (965%)

Cash: $4,065 (4572% of Medicare)

Ins. Median: $858 (965% 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 965% of the Medicare baseline (a markup of 865%). 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	$132 - $250	148%
United	$182 - $2,394	205%
Access 2 Healthcare Physicians Freedom Health	$202 - $383	227%
Access 2 Healthcare Physicians Optimum	$202 - $383	227%
Freedom Health Care	$219 - $415	246%
Optimum Healthcare	$219 - $415	246%
Avmed	$225 - $1,330	253%
Corvel Corporation	$399	449%
Rockport Healthcare Group	$399	449%
Prime Health	$407	458%
Simply Healthcare	$433 - $819	487%
Molina	$534 - $1,437	601%
Evolutions Healthcare Systems	$646 - $4,895	727%
Sunshine State Health Plan	$716 - $1,357	805%
Humana	$786 - $1,490	884%
Aetna	$843 - $1,596	948%
Behealthy America	$1,095 - $2,075	1232%
Healthcare Sarasota	$1,404 - $2,660	1579%
Plotkin Health	$1,404 - $2,660	1579%
Prime Health Sheriff	$1,404 - $2,660	1579%
Multiplan	$2,106 - $4,523	2369%

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 $4,065.
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 Fawcett 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.