CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Oak Hill Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $806
Cash Discount Price: $4,167
vs. Medicare Baseline: 9.07x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Oak Hill Hospital is $806. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,167. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.07x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$4,167

Average discount available for prompt cash payment at this facility.

Insurance Median

$806

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: $4,167 (4687%)

Insurance Median: $806 (907%)

Cash: $4,167 (4687% of Medicare)

Ins. Median: $806 (907% 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 907% of the Medicare baseline (a markup of 807%). 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	$131 - $261	147%
United	$182 - $2,499	205%
Access 2 Healthcare Physicians Freedom Health	$200 - $400	225%
Access 2 Healthcare Physicians Optimum	$200 - $400	225%
Freedom Health Care	$217 - $433	244%
Optimum Healthcare	$217 - $433	244%
Avmed	$222 - $1,388	250%
Simply Healthcare	$428 - $855	481%
Corvel Corporation	$443	498%
Rockport Healthcare Group	$443	498%
Prime Health	$453	510%
Molina	$528 - $1,499	594%
Evolutions Healthcare Systems	$640 - $5,108	720%
Sunshine State Health Plan	$709 - $1,416	797%
Humana	$779 - $1,555	876%
Aetna	$834 - $1,666	938%
Plotkin Health	$1,390 - $2,776	1563%
Prime Health Sheriff	$1,390 - $2,776	1563%
Multiplan	$2,085 - $4,720	2345%

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 $4,167.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.