CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Poinciana Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $748
Cash Discount Price: $2,629
vs. Medicare Baseline: 8.41x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Poinciana Hospital is $748. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,629. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.41x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.

Cash / Self-Pay

$2,629

Average discount available for prompt cash payment at this facility.

Insurance Median

$748

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: $2,629 (2957%)

Insurance Median: $748 (841%)

Cash: $2,629 (2957% of Medicare)

Ins. Median: $748 (841% 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 841% of the Medicare baseline (a markup of 741%). 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 - $197	205%
Optimum	$182 - $197	205%
United	$182 - $1,228	205%
Avmed	$202 - $1,365	227%
Simply	$389 - $420	438%
Corvel Corporation	$406	457%
Prime Health	$414	466%
Careworks (Rockport Community)	$427	480%
Molina Healthcare	$480 - $737	540%
Evolutions	$581 - $628	653%
Sunshine State Health Plan	$645 - $696	725%
Humana	$708 - $764	796%
Aetna	$758 - $819	853%
Plotkin Health	$1,264 - $1,365	1422%
Prime Health Sheriff	$1,264 - $1,365	1422%
Multiplan	$1,896 - $2,320	2132%

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 $2,629.
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 HCA Florida Poinciana 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.