CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Capital Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $1,173
Cash Discount Price: $2,929
vs. Medicare Baseline: 13.19x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Capital Hospital is $1,173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,929. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.19x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$2,929

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,173

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: $2,929 (3294%)

Insurance Median: $1,173 (1319%)

Cash: $2,929 (3294% of Medicare)

Ins. Median: $1,173 (1319% 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 1319% of the Medicare baseline (a markup of 1219%). 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 - $1,343	205%
Simply	$361 - $460	406%
Corvel Corporation	$377	424%
Prime Health	$385	433%
Careworks (Rockport Community)	$397	447%
Molina Healthcare	$446 - $955	502%
Humana	$469 - $597	527%
Avmed	$563 - $1,492	633%
Sunshine State Health Plan	$598 - $761	673%
Aetna	$704 - $895	792%
Plotkin Health	$1,173 - $1,492	1319%
Prime Health Sheriff	$1,173 - $1,492	1319%
Multiplan	$1,830 - $2,537	2058%
Evernorth	$1,877 - $2,388	2111%
Evolutions Healthcare	$1,994 - $2,537	2243%
Ppo Next	$1,994 - $2,537	2243%
Novanet	$2,111 - $2,686	2374%
Beacon Health Options	$2,346 - $2,985	2639%

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 $2,929.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

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 73130.
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.