CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $1,288
Cash Discount Price: $3,277
vs. Medicare Baseline: 14.49x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Gulf Coast Hospital is $1,288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,277. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.49x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.

Cash / Self-Pay

$3,277

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,288

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: $3,277 (3686%)

Insurance Median: $1,288 (1449%)

Cash: $3,277 (3686% of Medicare)

Ins. Median: $1,288 (1449% 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 1449% of the Medicare baseline (a markup of 1349%). 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 - $1,802	205%
Simply	$399 - $617	449%
Corvel Corporation	$407	458%
Prime Health	$416	468%
Careworks (Rockport Community)	$428	481%
Molina Healthcare	$492 - $1,281	553%
Avmed	$621 - $2,002	698%
Sunshine State Health Plan	$660 - $1,021	742%
Aetna	$777 - $1,201	874%
Humana	$984 - $1,521	1107%
Plotkin Health	$1,294 - $2,002	1455%
Prime Health Sheriff	$1,294 - $2,002	1455%
Multiplan	$2,019 - $3,403	2271%
Ppo Next	$2,200 - $3,403	2474%
Novanet	$2,330 - $3,603	2621%

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 $3,277.
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 Gulf Coast 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.