CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Citrus Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,600
Cash Discount Price: $6,400
vs. Medicare Baseline: 14.98x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Citrus Hospital is $1,600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,400. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.98x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$6,400

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,600

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $6,400 (5992%)

Insurance Median: $1,600 (1498%)

Cash: $6,400 (5992% of Medicare)

Ins. Median: $1,600 (1498% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1498% of the Medicare baseline (a markup of 1398%). 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	$245 - $2,880	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$301	282%
Access 2 Healthcare Physicians Freedom Health	$384	360%
Access 2 Healthcare Physicians Optimum	$384	360%
Freedom Health Care	$416	389%
Optimum Healthcare	$416	389%
Avmed	$512 - $1,600	479%
Corvel Corporation	$731	684%
Rockport Healthcare Group	$731	684%
Prime Health	$746	698%
Molina	$1,216 - $1,728	1138%
Evolutions Healthcare Systems	$1,472 - $5,888	1378%
Sunshine State Health Plan	$1,632	1528%
Humana	$1,792	1678%
Aetna	$1,920	1798%
Beacon Health Options	$3,200	2996%
Plotkin Health	$3,200	2996%
Prime Health Sheriff	$3,200	2996%
Multiplan	$4,800 - $5,440	4494%
Evernorth	$5,120	4794%

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 $6,400.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Citrus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72110.
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.