CMS Price Transparency Data

X-ray, hand

Facility: Oviedo Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $608
Cash Discount Price: $2,999
vs. Medicare Baseline: 6.84x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Oviedo Medical Center is $608. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,999. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.84x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.

Cash / Self-Pay

$2,999

Average discount available for prompt cash payment at this facility.

Insurance Median

$608

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: $2,999 (3373%)

Insurance Median: $608 (684%)

Cash: $2,999 (3373% of Medicare)

Ins. Median: $608 (684% 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 684% of the Medicare baseline (a markup of 584%). 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	$144 - $288	162%
Optimum	$144 - $288	162%
Avmed	$160 - $1,999	180%
United	$182 - $1,799	205%
Simply	$308 - $616	346%
Molina Healthcare	$380 - $760	427%
Humana	$400 - $800	450%
Prime Health	$414	466%
Evolutions	$460 - $920	517%
Sunshine State Health Plan	$510 - $1,020	574%
Aetna	$600 - $1,200	675%
Florida Health Care Plan	$754 - $1,507	848%

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 $2,999.
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 Oviedo Medical Center 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.