CMS Price Transparency Data

X-ray, foot

Facility: Larkin Community Hospital Behavioral Health Srvs

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $833
Cash Discount Price: $728
vs. Medicare Baseline: 9.37x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Larkin Community Hospital Behavioral Health Srvs is $833. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $728. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.37x the Medicare baseline. Located in 1201 N 37Th Ave, Hollywood, FL.

Cash / Self-Pay

$728

Average discount available for prompt cash payment at this facility.

Insurance Median

$833

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: $728 (819%)

Insurance Median: $833 (937%)

Cash: $728 (819% of Medicare)

Ins. Median: $833 (937% 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 937% of the Medicare baseline (a markup of 837%). 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
Clear Spring Health-All Plans	$8 - $1,538	9%
Medicaid / KanCare	$37 - $52	42%
Miami Childrens Hp-All Plans	$37 - $52	42%
Sunshine Behav Mcaid	$37 - $52	42%
Community Care Plan-All Plans	$52	58%
Bright Hlth Mcr Adv	$88	99%
Bright Hlth Comm - All Other Plans	$92	103%
Magellan Healthcare-All Plans	$624 - $937	702%
Cigna	$728 - $1,093	819%
Longevity Mcr Adv-All Plans	$975 - $1,465	1097%
Sunshine Behav Comm - All Other Plans	$975 - $1,465	1097%
Aetna	$1,040 - $1,562	1170%
Hma Mcr Adv	$1,122 - $1,684	1262%

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 $728.
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 Larkin Community Hospital Behavioral Health Srvs 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.