CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Palms West Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $890
Cash Discount Price: $3,177
vs. Medicare Baseline: 10.01x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Palms West Hospital is $890. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,177. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.01x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$3,177

Average discount available for prompt cash payment at this facility.

Insurance Median

$890

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: $3,177 (3573%)

Insurance Median: $890 (1001%)

Cash: $3,177 (3573% of Medicare)

Ins. Median: $890 (1001% 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 1001% of the Medicare baseline (a markup of 901%). 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
Freedom Health	$182 - $678	205%
Optimum	$182 - $364	205%
United	$182 - $1,907	205%
Avmed	$275 - $2,118	309%
Simply Healthcare Plans	$275 - $551	309%
Molina	$402 - $1,144	452%
Corvel Corporation	$434	488%
Careworks (Rockport)	$443	498%
Prime Health	$443	498%
Humana	$445 - $1,441	501%
Health Sun Health Plan	$451 - $902	507%
Aids Healthcare	$466 - $5,084	524%
Mmm Of Fl (Health Advantage Plan)	$487 - $975	548%
United Ppo	$502 - $1,004	565%
Healthy Palm Beaches	$550	619%
Sunshine State Health Plan	$550 - $1,102	619%
Aetna	$635 - $1,271	714%
Health Care District	$1,058 - $2,118	1190%
Palm Beach Juvenile Correction	$1,058 - $2,118	1190%
Plotkin Health	$1,058 - $2,118	1190%
Prime Health Sherriff	$1,058 - $2,118	1190%
Medica Healthcare	$1,228 - $2,457	1381%
Multiplan	$1,588 - $3,601	1786%

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 $3,177.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.