CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Capital Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,204
Cash Discount Price: $2,881
vs. Medicare Baseline: 13.54x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Capital Hospital is $1,204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,881. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.54x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$2,881

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,204

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: $2,881 (3240%)

Insurance Median: $1,204 (1354%)

Cash: $2,881 (3240% of Medicare)

Ins. Median: $1,204 (1354% 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 1354% of the Medicare baseline (a markup of 1254%). 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
United	$182 - $1,452	205%
Corvel Corporation	$384	432%
Simply	$390 - $497	439%
Prime Health	$392	441%
Careworks (Rockport Community)	$404	454%
Molina Healthcare	$482 - $1,033	542%
Humana	$507 - $646	570%
Avmed	$608 - $1,614	684%
Sunshine State Health Plan	$646 - $823	727%
Aetna	$760 - $968	855%
Plotkin Health	$1,267 - $1,614	1425%
Prime Health Sheriff	$1,267 - $1,614	1425%
Multiplan	$1,977 - $2,743	2224%
Evernorth	$2,028 - $2,582	2281%
Evolutions Healthcare	$2,155 - $2,743	2424%
Ppo Next	$2,155 - $2,743	2424%
Novanet	$2,281 - $2,905	2566%
Beacon Health Options	$2,535 - $3,228	2851%

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 $2,881.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Capital Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
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.