CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Englewood Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $692
Cash Discount Price: $2,882
vs. Medicare Baseline: 7.78x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Englewood Hospital is $692. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,882. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.78x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$2,882

Average discount available for prompt cash payment at this facility.

Insurance Median

$692

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: $2,882 (3241%)

Insurance Median: $692 (778%)

Cash: $2,882 (3241% of Medicare)

Ins. Median: $692 (778% 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 778% of the Medicare baseline (a markup of 678%). 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	$135	152%
United	$182 - $1,297	205%
Access 2 Healthcare Physicians Freedom Health	$208	234%
Access 2 Healthcare Physicians Optimum	$208	234%
Freedom Health Care	$225	253%
Optimum Healthcare	$225	253%
Avmed	$231 - $721	260%
Corvel Corporation	$441	496%
Rockport Healthcare Group	$441	496%
Simply Healthcare	$444	499%
Prime Health	$450	506%
Molina	$548 - $778	616%
Evolutions Healthcare Systems	$663 - $2,651	746%
Sunshine State Health Plan	$735	827%
Humana	$807	908%
Aetna	$865	973%
Behealthy America	$1,124	1264%
Healthcare Sarasota	$1,441	1621%
Plotkin Health	$1,441	1621%
Prime Health Sheriff	$1,441	1621%
Multiplan	$2,162 - $2,450	2432%

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 $2,882.
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 Englewood 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.