CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida South Shore Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $1,288
Cash Discount Price: $5,726
vs. Medicare Baseline: 14.49x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida South Shore Hospital is $1,288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,726. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.49x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$5,726

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,288

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: $5,726 (6440%)

Insurance Median: $1,288 (1449%)

Cash: $5,726 (6440% of Medicare)

Ins. Median: $1,288 (1449% 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 1449% of the Medicare baseline (a markup of 1349%). 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 - $2,577	205%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$269	303%
Access 2 Healthcare Physicians Freedom Health	$412	463%
Access 2 Healthcare Physicians Optimum	$412	463%
Corvel Corporation	$441	496%
Rockport Healthcare Group	$441	496%
Freedom Health Care	$447	503%
Optimum Healthcare	$447	503%
Prime Health	$450	506%
Avmed	$458 - $1,431	515%
Simply Healthcare	$882	992%
Molina	$1,088 - $1,546	1224%
Evolutions Healthcare Systems	$1,317 - $5,268	1481%
Sunshine State Health Plan	$1,460	1642%
Humana	$1,603	1803%
Aetna	$1,718	1932%
Plotkin Health	$2,863	3220%
Prime Health Sheriff	$2,863	3220%
Multiplan	$4,294 - $4,867	4830%

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 $5,726.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.