CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Northside Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,225
Cash Discount Price: $6,272
vs. Medicare Baseline: 13.78x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Northside Hospital is $1,225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,272. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.78x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$6,272

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,225

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: $6,272 (7054%)

Insurance Median: $1,225 (1378%)

Cash: $6,272 (7054% of Medicare)

Ins. Median: $1,225 (1378% 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 1378% of the Medicare baseline (a markup of 1278%). 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 - $3,745	205%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$198 - $391	223%
Access 2 Healthcare Physicians Freedom Health	$304 - $599	342%
Access 2 Healthcare Physicians Optimum	$304 - $599	342%
Freedom Health Care	$329 - $649	370%
Optimum Healthcare	$329 - $649	370%
Avmed	$338 - $2,080	380%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$650 - $1,282	731%
Molina	$802 - $2,247	902%
Evolutions Healthcare Systems	$971 - $7,656	1092%
Sunshine State Health Plan	$1,077 - $2,122	1211%
Humana	$1,182 - $2,330	1329%
Aetna	$1,267 - $2,497	1425%
Plotkin Health	$2,112 - $4,161	2375%
Prime Health Sheriff	$2,112 - $4,161	2375%
Multiplan	$3,167 - $7,073	3562%

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 $6,272.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.