CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Northside Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,210
Cash Discount Price: $7,480
vs. Medicare Baseline: 13.61x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Northside Hospital is $1,210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,480. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.61x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$7,480

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,210

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: $7,480 (8413%)

Insurance Median: $1,210 (1361%)

Cash: $7,480 (8413% of Medicare)

Ins. Median: $1,210 (1361% 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 1361% of the Medicare baseline (a markup of 1261%). 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 - $4,854	205%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$196 - $507	220%
Access 2 Healthcare Physicians Freedom Health	$300 - $777	337%
Access 2 Healthcare Physicians Optimum	$300 - $777	337%
Freedom Health Care	$325 - $841	366%
Optimum Healthcare	$325 - $841	366%
Avmed	$334 - $2,697	376%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$642 - $1,661	722%
Molina	$793 - $2,913	892%
Evolutions Healthcare Systems	$960 - $9,925	1080%
Sunshine State Health Plan	$1,064 - $2,751	1197%
Humana	$1,168 - $3,021	1314%
Aetna	$1,252 - $3,236	1408%
Plotkin Health	$2,086 - $5,394	2346%
Prime Health Sheriff	$2,086 - $5,394	2346%
Multiplan	$3,129 - $9,170	3519%

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 $7,480.
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 Northside 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.