CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Lawnwood Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $937
  • Cash Discount Price: $2,879
  • vs. Medicare Baseline: 10.54x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Lawnwood Hospital is $937. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,879. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.54x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$2,879

Average discount available for prompt cash payment at this facility.

Insurance Median
$937

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: $2,879 (3238%)
Insurance Median: $937 (1054%)
Cash: $2,879 (3238% of Medicare)
Ins. Median: $937 (1054% 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 1054% of the Medicare baseline (a markup of 954%). 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 $22 - $4,261 25%
United $138 - $2,591 155%
Pinnacol Workers Comp $140 157%
Multiplan $146 - $5,183 164%
Rocky Mountain Health Plan $182 205%
Cigna $218 - $3,685 245%
Freedom Health $246 - $457 277%
Optimum $246 277%
Avmed $371 - $1,428 417%
Simply Healthcare Plans $371 417%
Vail Health $438 - $875 493%
Corvel Corporation $455 512%
Careworks (Rockport) $465 523%
Prime Health $465 - $5,183 523%
Molina $543 - $771 611%
Kaiser $576 - $2,044 648%
Health Sun Health Plan $608 684%
Sunshine State Health Plan $728 819%
Aetna $857 - $3,040 964%
Bright Health $864 - $1,728 972%
Office Of Sheiff Highland Co $1,000 1125%
Humana $1,057 - $1,142 1189%
United Ppo $1,257 1414%
Plotkin Health $1,428 1606%
Prime Health Sherriff $1,428 1606%
Western Plains Community Health $1,872 - $3,743 2105%
Northcare $2,015 - $4,031 2266%
Physician Health Partners $2,015 - $4,031 2266%
Evernorth Bh $2,285 2570%
Medical Development International $2,303 - $4,607 2590%

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