CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Oak Hill Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $743
Cash Discount Price: $3,841
vs. Medicare Baseline: 8.36x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Oak Hill Hospital is $743. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,841. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.36x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$3,841

Average discount available for prompt cash payment at this facility.

Insurance Median

$743

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: $3,841 (4320%)

Insurance Median: $743 (836%)

Cash: $3,841 (4320% of Medicare)

Ins. Median: $743 (836% 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 836% of the Medicare baseline (a markup of 736%). 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	$120 - $241	135%
United	$182 - $2,303	205%
Access 2 Healthcare Physicians Freedom Health	$185 - $369	208%
Access 2 Healthcare Physicians Optimum	$185 - $369	208%
Freedom Health Care	$200 - $399	225%
Optimum Healthcare	$200 - $399	225%
Avmed	$205 - $1,280	231%
Simply Healthcare	$395 - $788	444%
Corvel Corporation	$411	462%
Rockport Healthcare Group	$411	462%
Prime Health	$420	472%
Molina	$487 - $1,382	548%
Evolutions Healthcare Systems	$589 - $4,709	662%
Sunshine State Health Plan	$654 - $1,305	736%
Humana	$718 - $1,433	808%
Aetna	$769 - $1,535	865%
Plotkin Health	$1,281 - $2,559	1441%
Prime Health Sheriff	$1,281 - $2,559	1441%
Multiplan	$1,922 - $4,351	2162%

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 $3,841.
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 Oak Hill 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.