CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Northside Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $916
Cash Discount Price: $4,736
vs. Medicare Baseline: 10.30x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Northside Hospital is $916. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,736. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.30x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$4,736

Average discount available for prompt cash payment at this facility.

Insurance Median

$916

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: $4,736 (5327%)

Insurance Median: $916 (1030%)

Cash: $4,736 (5327% of Medicare)

Ins. Median: $916 (1030% 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 1030% of the Medicare baseline (a markup of 930%). 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	$148 - $297	166%
United	$182 - $2,841	205%
Access 2 Healthcare Physicians Freedom Health	$227 - $455	255%
Access 2 Healthcare Physicians Optimum	$227 - $455	255%
Freedom Health Care	$246 - $492	277%
Optimum Healthcare	$246 - $492	277%
Avmed	$253 - $1,578	285%
Corvel Corporation	$411	462%
Rockport Healthcare Group	$411	462%
Prime Health	$420	472%
Simply Healthcare	$486 - $972	547%
Molina	$600 - $1,705	675%
Evolutions Healthcare Systems	$726 - $5,808	817%
Sunshine State Health Plan	$805 - $1,610	905%
Humana	$884 - $1,768	994%
Aetna	$947 - $1,894	1065%
Plotkin Health	$1,579 - $3,157	1776%
Prime Health Sheriff	$1,579 - $3,157	1776%
Multiplan	$2,368 - $5,366	2663%

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 $4,736.
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 Northside 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.