CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Lawnwood Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $639
Cash Discount Price: $2,808
vs. Medicare Baseline: 7.19x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Lawnwood Hospital is $639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,808. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.19x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.

Cash / Self-Pay

$2,808

Average discount available for prompt cash payment at this facility.

Insurance Median

$639

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: $2,808 (3158%)

Insurance Median: $639 (719%)

Cash: $2,808 (3158% of Medicare)

Ins. Median: $639 (719% 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 719% of the Medicare baseline (a markup of 619%). 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
Blue Cross Blue Shield	$27 - $2,284	30%
United	$138 - $1,389	155%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $2,778	164%
Rocky Mountain Health Plan	$182	205%
Freedom Health	$217 - $405	244%
Optimum	$217	244%
Cigna	$218 - $1,975	245%
Avmed	$329 - $1,264	370%
Simply Healthcare Plans	$329	370%
Corvel Corporation	$452	508%
Careworks (Rockport)	$462	520%
Prime Health	$462 - $2,778	520%
Vail Health	$469	527%
Molina	$481 - $683	541%
Health Sun Health Plan	$539	606%
Kaiser	$617 - $1,096	694%
Sunshine State Health Plan	$645	725%
Aetna	$759 - $1,630	854%
Office Of Sheiff Highland Co	$885	995%
Bright Health	$926	1042%
Humana	$936 - $1,012	1053%
United Ppo	$1,113	1252%
Plotkin Health	$1,264	1422%
Prime Health Sherriff	$1,264	1422%
Western Plains Community Health	$2,006	2256%
Evernorth Bh	$2,023	2275%
Northcare	$2,161	2431%
Physician Health Partners	$2,161	2431%
Medical Development International	$2,469	2777%

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 $2,808.
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 Lawnwood 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.