CMS Price Transparency Data

X-ray, hand

Facility: Gulf Breeze Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $357
Cash Discount Price: $242
vs. Medicare Baseline: 4.02x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Gulf Breeze Hospital is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.02x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.

Cash / Self-Pay

$242

Average discount available for prompt cash payment at this facility.

Insurance Median

$357

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: $242 (272%)

Insurance Median: $357 (402%)

Cash: $242 (272% of Medicare)

Ins. Median: $357 (402% 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 402% of the Medicare baseline (a markup of 302%). 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
Aetna	$36 - $1,412	40%
Cha Health Plan	$36	40%
UnitedHealthcare	$36 - $513	40%
Humana	$37 - $90	42%
Sunshine Health	$37	42%
Wellcare	$37 - $93	42%
Fl Community Care Ltc	$38	43%
Simply Healthcare Healthy Kids	$41	46%
Uwf Athletes	$50 - $1,257	56%
Medicare (plans)	$74	83%
Hospice Covenant	$88	99%
Fl Blue	$148 - $513	166%
Pensacola	$193 - $290	217%
Wc Corvel	$300 - $1,837	337%
Bc Fl	$317	357%
Hospice Regency	$387 - $580	435%
Cigna	$612 - $1,934	688%
Hospice Emerald Coast	$644 - $967	724%
Private Healthcare	$838 - $1,257	943%
First Health	$896 - $1,344	1008%
Choicecare	$967 - $1,450	1088%
Multiplan	$1,147 - $1,721	1290%

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 $242.
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 Gulf Breeze 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.