CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Fawcett Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,003
Cash Discount Price: $4,759
vs. Medicare Baseline: 11.28x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Fawcett Hospital is $1,003. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,759. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.28x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$4,759

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,003

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: $4,759 (5353%)

Insurance Median: $1,003 (1128%)

Cash: $4,759 (5353% of Medicare)

Ins. Median: $1,003 (1128% 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 1128% of the Medicare baseline (a markup of 1028%). 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	$154 - $294	173%
United	$182 - $2,810	205%
Access 2 Healthcare Physicians Freedom Health	$236 - $450	265%
Access 2 Healthcare Physicians Optimum	$236 - $450	265%
Freedom Health Care	$255 - $487	287%
Optimum Healthcare	$255 - $487	287%
Avmed	$262 - $1,561	295%
Corvel Corporation	$430	484%
Rockport Healthcare Group	$430	484%
Prime Health	$439	494%
Simply Healthcare	$504 - $962	567%
Molina	$622 - $1,686	700%
Evolutions Healthcare Systems	$753 - $5,745	847%
Sunshine State Health Plan	$835 - $1,592	939%
Humana	$916 - $1,749	1030%
Aetna	$982 - $1,874	1104%
Behealthy America	$1,276 - $2,436	1435%
Healthcare Sarasota	$1,636 - $3,122	1840%
Plotkin Health	$1,636 - $3,122	1840%
Prime Health Sheriff	$1,636 - $3,122	1840%
Multiplan	$2,455 - $5,308	2761%

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 $4,759.
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 Fawcett 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.