CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida South Shore Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $952
Cash Discount Price: $3,732
vs. Medicare Baseline: 10.71x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida South Shore Hospital is $952. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,732. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.71x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$3,732

Average discount available for prompt cash payment at this facility.

Insurance Median

$952

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: $3,732 (4198%)

Insurance Median: $952 (1071%)

Cash: $3,732 (4198% of Medicare)

Ins. Median: $952 (1071% 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 1071% of the Medicare baseline (a markup of 971%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$167 - $246	188%
United	$182 - $2,359	205%
Access 2 Healthcare Physicians Freedom Health	$255 - $377	287%
Access 2 Healthcare Physicians Optimum	$255 - $377	287%
Freedom Health Care	$276 - $409	310%
Optimum Healthcare	$276 - $409	310%
Avmed	$283 - $1,311	318%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$546 - $807	614%
Molina	$673 - $1,416	757%
Evolutions Healthcare Systems	$815 - $4,824	917%
Sunshine State Health Plan	$903 - $1,337	1016%
Humana	$992 - $1,468	1116%
Aetna	$1,063 - $1,573	1196%
Plotkin Health	$1,771 - $2,621	1992%
Prime Health Sheriff	$1,771 - $2,621	1992%
Multiplan	$2,657 - $4,456	2988%

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 $3,732.
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 South Shore 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.