CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Lawnwood Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $731
  • Cash Discount Price: $2,564
  • vs. Medicare Baseline: 8.22x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Lawnwood Hospital is $731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,564. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.22x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$2,564

Average discount available for prompt cash payment at this facility.

Insurance Median
$731

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: $2,564 (2884%)
Insurance Median: $731 (822%)
Cash: $2,564 (2884% of Medicare)
Ins. Median: $731 (822% 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 822% of the Medicare baseline (a markup of 722%). 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 $20 - $3,530 22%
United $138 - $2,146 155%
Pinnacol Workers Comp $140 157%
Multiplan $146 - $4,293 164%
Rocky Mountain Health Plan $182 205%
Freedom Health $206 - $437 232%
Optimum $206 - $235 232%
Cigna $218 - $3,053 245%
Avmed $312 - $1,364 351%
Simply Healthcare Plans $312 - $355 351%
Vail Health $363 - $725 408%
Corvel Corporation $430 484%
Careworks (Rockport) $439 494%
Prime Health $439 - $4,293 494%
Molina $456 - $737 513%
Kaiser $477 - $1,693 536%
Health Sun Health Plan $511 - $581 575%
Sunshine State Health Plan $612 - $696 688%
Bright Health $716 - $1,431 805%
Aetna $720 - $2,518 810%
Office Of Sheiff Highland Co $840 - $955 945%
Humana $888 - $1,092 999%
United Ppo $1,056 - $1,201 1188%
Plotkin Health $1,200 - $1,364 1350%
Prime Health Sherriff $1,200 - $1,364 1350%
Western Plains Community Health $1,550 - $3,100 1743%
Northcare $1,670 - $3,339 1878%
Physician Health Partners $1,670 - $3,339 1878%
Medical Development International $1,908 - $3,816 2146%
Evernorth Bh $1,919 - $2,183 2158%

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