CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Northside Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,231
Cash Discount Price: $6,356
vs. Medicare Baseline: 13.85x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Northside Hospital is $1,231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,356. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.85x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$6,356

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,231

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: $6,356 (7149%)

Insurance Median: $1,231 (1385%)

Cash: $6,356 (7149% of Medicare)

Ins. Median: $1,231 (1385% 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 1385% of the Medicare baseline (a markup of 1285%). 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 - $3,811	205%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$199 - $398	224%
Access 2 Healthcare Physicians Freedom Health	$306 - $610	344%
Access 2 Healthcare Physicians Optimum	$306 - $610	344%
Freedom Health Care	$331 - $661	372%
Optimum Healthcare	$331 - $661	372%
Avmed	$340 - $2,117	382%
Corvel Corporation	$443	498%
Rockport Healthcare Group	$443	498%
Prime Health	$453	510%
Simply Healthcare	$654 - $1,304	736%
Molina	$806 - $2,287	907%
Evolutions Healthcare Systems	$976 - $7,791	1098%
Sunshine State Health Plan	$1,082 - $2,160	1217%
Humana	$1,188 - $2,371	1336%
Aetna	$1,273 - $2,541	1432%
Plotkin Health	$2,122 - $4,234	2387%
Prime Health Sheriff	$2,122 - $4,234	2387%
Multiplan	$3,183 - $7,198	3580%

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 $6,356.
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 Northside 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.