CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida South Shore Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,172
Cash Discount Price: $4,910
vs. Medicare Baseline: 13.18x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida South Shore Hospital is $1,172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,910. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.18x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$4,910

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,172

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: $4,910 (5522%)

Insurance Median: $1,172 (1318%)

Cash: $4,910 (5522% of Medicare)

Ins. Median: $1,172 (1318% 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 1318% of the Medicare baseline (a markup of 1218%). 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 - $2,976	205%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$197 - $311	222%
Access 2 Healthcare Physicians Freedom Health	$301 - $476	339%
Access 2 Healthcare Physicians Optimum	$301 - $476	339%
Freedom Health Care	$326 - $516	367%
Optimum Healthcare	$326 - $516	367%
Avmed	$335 - $1,653	377%
Corvel Corporation	$419	471%
Rockport Healthcare Group	$419	471%
Prime Health	$428	481%
Simply Healthcare	$644 - $1,018	724%
Molina	$795 - $1,785	894%
Evolutions Healthcare Systems	$962 - $6,084	1082%
Sunshine State Health Plan	$1,067 - $1,686	1200%
Humana	$1,172 - $1,852	1318%
Aetna	$1,255 - $1,984	1412%
Plotkin Health	$2,092 - $3,306	2353%
Prime Health Sheriff	$2,092 - $3,306	2353%
Multiplan	$3,138 - $5,621	3529%

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 $4,910.
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 South Shore 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.