CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Palms West Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $936
Cash Discount Price: $3,345
vs. Medicare Baseline: 10.53x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Palms West Hospital is $936. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,345. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.53x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$3,345

Average discount available for prompt cash payment at this facility.

Insurance Median

$936

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: $3,345 (3762%)

Insurance Median: $936 (1053%)

Cash: $3,345 (3762% of Medicare)

Ins. Median: $936 (1053% 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 1053% of the Medicare baseline (a markup of 953%). 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 - $2,006	205%
Freedom Health	$192 - $713	216%
Optimum	$192 - $383	216%
Avmed	$290 - $2,228	326%
Simply Healthcare Plans	$290 - $579	326%
Molina	$424 - $1,203	477%
Corvel Corporation	$434	488%
Careworks (Rockport)	$443	498%
Prime Health	$443	498%
Humana	$469 - $1,515	527%
Health Sun Health Plan	$475 - $949	534%
Aids Healthcare	$491 - $5,348	552%
Mmm Of Fl (Health Advantage Plan)	$513 - $1,025	577%
United Ppo	$529 - $1,056	595%
Healthy Palm Beaches	$550	619%
Sunshine State Health Plan	$580 - $1,159	652%
Aetna	$670 - $1,337	754%
Health Care District	$1,116 - $2,228	1255%
Palm Beach Juvenile Correction	$1,116 - $2,228	1255%
Plotkin Health	$1,116 - $2,228	1255%
Prime Health Sherriff	$1,116 - $2,228	1255%
Medica Healthcare	$1,295 - $2,585	1457%
Multiplan	$1,674 - $3,788	1883%

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 $3,345.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Palms West Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
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.