CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Capital Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $324
  • Cash Discount Price: $648
  • vs. Medicare Baseline: 3.64x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Capital Hospital is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $648. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.64x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$648

Average discount available for prompt cash payment at this facility.

Insurance Median
$324

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: $648 (729%)
Insurance Median: $324 (364%)
Cash: $648 (729% of Medicare)
Ins. Median: $324 (364% 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 364% of the Medicare baseline (a markup of 264%). 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
Simply $100 112%
Molina Healthcare $123 - $207 138%
Humana $130 146%
United $131 - $291 147%
Avmed $155 - $324 174%
Sunshine State Health Plan $165 186%
Aetna $194 218%
Plotkin Health $324 364%
Prime Health Sheriff $324 364%
Corvel Corporation $404 454%
Prime Health $412 463%
Careworks (Rockport Community) $425 478%
Multiplan $505 - $551 568%
Evernorth $518 583%
Evolutions Healthcare $551 620%
Ppo Next $551 620%
Novanet $583 656%
Beacon Health Options $648 729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals