CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Capital Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,245
Cash Discount Price: $2,948
vs. Medicare Baseline: 14.00x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Capital Hospital is $1,245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,948. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.00x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$2,948

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,245

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: $2,948 (3316%)

Insurance Median: $1,245 (1400%)

Cash: $2,948 (3316% of Medicare)

Ins. Median: $1,245 (1400% 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 1400% of the Medicare baseline (a markup of 1300%). 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 - $1,474	205%
Corvel Corporation	$384	432%
Prime Health	$392	441%
Careworks (Rockport Community)	$404	454%
Simply	$404 - $504	454%
Molina Healthcare	$498 - $1,048	560%
Humana	$524 - $655	589%
Avmed	$629 - $1,638	707%
Sunshine State Health Plan	$668 - $835	751%
Aetna	$786 - $983	884%
Plotkin Health	$1,311 - $1,638	1475%
Prime Health Sheriff	$1,311 - $1,638	1475%
Multiplan	$2,044 - $2,784	2299%
Evernorth	$2,097 - $2,620	2359%
Evolutions Healthcare	$2,228 - $2,784	2506%
Ppo Next	$2,228 - $2,784	2506%
Novanet	$2,359 - $2,948	2653%
Beacon Health Options	$2,621 - $3,276	2948%

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 $2,948.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.