CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Brandon Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $863
Cash Discount Price: $3,595
vs. Medicare Baseline: 9.71x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Brandon Hospital is $863. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,595. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.71x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$3,595

Average discount available for prompt cash payment at this facility.

Insurance Median

$863

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: $3,595 (4043%)

Insurance Median: $863 (971%)

Cash: $3,595 (4043% of Medicare)

Ins. Median: $863 (971% 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 971% of the Medicare baseline (a markup of 871%). 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	190%
United	$182 - $1,618	205%
Access 2 Healthcare Physicians Freedom Health	$259	291%
Access 2 Healthcare Physicians Optimum	$259	291%
Freedom Health Care	$280	315%
Optimum Healthcare	$280	315%
Avmed	$288 - $899	324%
Corvel Corporation	$441	496%
Rockport Healthcare Group	$441	496%
Prime Health	$450	506%
Simply Healthcare	$554	623%
Molina	$683 - $971	768%
Evolutions Healthcare Systems	$827 - $3,307	930%
Sunshine State Health Plan	$917	1031%
Humana	$1,007	1133%
Aetna	$1,078	1212%
Beacon Health Options	$1,797	2021%
Plotkin Health	$1,797	2021%
Prime Health Sheriff	$1,797	2021%
Multiplan	$2,696 - $3,056	3032%
Evernorth	$2,876	3235%

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 $3,595.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.