CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Lawnwood Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $794
  • Cash Discount Price: $2,907
  • vs. Medicare Baseline: 8.93x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Lawnwood Hospital is $794. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,907. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.93x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$2,907

Average discount available for prompt cash payment at this facility.

Insurance Median
$794

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: $2,907 (3270%)
Insurance Median: $794 (893%)
Cash: $2,907 (3270% of Medicare)
Ins. Median: $794 (893% 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 893% of the Medicare baseline (a markup of 793%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $21 - $4,551 24%
United $138 - $2,767 155%
Pinnacol Workers Comp $140 157%
Multiplan $146 - $5,535 164%
Rocky Mountain Health Plan $182 205%
Freedom Health $211 - $438 237%
Optimum $211 - $236 237%
Cigna $218 - $3,936 245%
Avmed $318 - $1,370 358%
Simply Healthcare Plans $318 - $356 358%
Corvel Corporation $430 484%
Careworks (Rockport) $439 494%
Prime Health $439 - $5,535 494%
Molina $465 - $740 523%
Vail Health $467 - $935 525%
Health Sun Health Plan $522 - $583 587%
Kaiser $615 - $2,183 692%
Sunshine State Health Plan $624 - $698 702%
Aetna $735 - $3,247 827%
Office Of Sheiff Highland Co $857 - $959 964%
Humana $906 - $1,096 1019%
Bright Health $923 - $1,845 1038%
United Ppo $1,078 - $1,205 1212%
Plotkin Health $1,224 - $1,370 1377%
Prime Health Sherriff $1,224 - $1,370 1377%
Evernorth Bh $1,959 - $2,191 2203%
Western Plains Community Health $1,999 - $3,997 2248%
Northcare $2,153 - $4,305 2422%
Physician Health Partners $2,153 - $4,305 2422%
Medical Development International $2,460 - $4,920 2767%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals