CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Palms West Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $544
Cash Discount Price: $2,474
vs. Medicare Baseline: 6.12x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Palms West Hospital is $544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,474. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.12x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$2,474

Average discount available for prompt cash payment at this facility.

Insurance Median

$544

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: $2,474 (2783%)

Insurance Median: $544 (612%)

Cash: $2,474 (2783% of Medicare)

Ins. Median: $544 (612% 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 612% of the Medicare baseline (a markup of 512%). 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 - $1,113	205%
Freedom Health	$213 - $396	240%
Optimum	$213	240%
Avmed	$322 - $1,237	362%
Simply Healthcare Plans	$322	362%
Corvel Corporation	$456	513%
Careworks (Rockport)	$465	523%
Prime Health	$465	523%
Molina	$470 - $668	529%
Humana	$520 - $841	585%
Health Sun Health Plan	$527	593%
Aids Healthcare	$544 - $2,969	612%
Healthy Palm Beaches	$550	619%
Mmm Of Fl (Health Advantage Plan)	$569	640%
United Ppo	$586	659%
Sunshine State Health Plan	$643	723%
Aetna	$742	835%
Health Care District	$1,237	1391%
Palm Beach Juvenile Correction	$1,237	1391%
Plotkin Health	$1,237	1391%
Prime Health Sherriff	$1,237	1391%
Medica Healthcare	$1,435	1614%
Multiplan	$1,856 - $2,103	2088%

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 $2,474.
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 Palms West 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.