CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Brandon Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,172
Cash Discount Price: $5,526
vs. Medicare Baseline: 13.18x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Brandon Hospital is $1,172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,526. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.18x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$5,526

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,172

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: $5,526 (6215%)

Insurance Median: $1,172 (1318%)

Cash: $5,526 (6215% of Medicare)

Ins. Median: $1,172 (1318% 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 1318% of the Medicare baseline (a markup of 1218%). 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	$173 - $346	195%
United	$182 - $3,316	205%
Access 2 Healthcare Physicians Freedom Health	$265 - $531	298%
Access 2 Healthcare Physicians Optimum	$265 - $531	298%
Freedom Health Care	$287 - $575	323%
Optimum Healthcare	$287 - $575	323%
Avmed	$295 - $1,842	332%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$567 - $1,135	638%
Molina	$700 - $1,990	787%
Evolutions Healthcare Systems	$847 - $6,779	953%
Sunshine State Health Plan	$939 - $1,879	1056%
Humana	$1,031 - $2,063	1160%
Aetna	$1,105 - $2,211	1243%
Beacon Health Options	$1,841 - $3,684	2071%
Plotkin Health	$1,841 - $3,684	2071%
Prime Health Sheriff	$1,841 - $3,684	2071%
Multiplan	$2,762 - $6,264	3107%
Evernorth	$2,946 - $5,895	3313%

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 $5,526.
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 Brandon 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.