CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Brandon Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,141
Cash Discount Price: $5,383
vs. Medicare Baseline: 12.83x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Brandon Hospital is $1,141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,383. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.83x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$5,383

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,141

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: $5,383 (6054%)

Insurance Median: $1,141 (1283%)

Cash: $5,383 (6054% of Medicare)

Ins. Median: $1,141 (1283% 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 1283% of the Medicare baseline (a markup of 1183%). 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	$169 - $337	190%
United	$182 - $3,229	205%
Access 2 Healthcare Physicians Freedom Health	$259 - $517	291%
Access 2 Healthcare Physicians Optimum	$259 - $517	291%
Freedom Health Care	$280 - $560	315%
Optimum Healthcare	$280 - $560	315%
Avmed	$287 - $1,794	323%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$553 - $1,105	622%
Molina	$682 - $1,937	767%
Evolutions Healthcare Systems	$826 - $6,601	929%
Sunshine State Health Plan	$916 - $1,830	1030%
Humana	$1,005 - $2,009	1130%
Aetna	$1,077 - $2,152	1211%
Beacon Health Options	$1,795 - $3,588	2019%
Plotkin Health	$1,795 - $3,588	2019%
Prime Health Sheriff	$1,795 - $3,588	2019%
Multiplan	$2,693 - $6,099	3029%
Evernorth	$2,872 - $5,740	3230%

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 $5,383.
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 Brandon 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.