CMS Price Transparency Data

X-ray, lower back

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $314
  • Cash Discount Price: $1,259
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Larkin Community Hospital Palm Springs Campus is $314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,259. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.94x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$1,259

Average discount available for prompt cash payment at this facility.

Insurance Median
$314

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: $1,259 (1179%)
Insurance Median: $314 (294%)
Cash: $1,259 (1179% of Medicare)
Ins. Median: $314 (294% 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 294% of the Medicare baseline (a markup of 194%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $36 - $109 34%
Florida Community Care Mcaid-All Plans $36 34%
Miami Childrens Hp Mcaid-All Plans $36 34%
Simply Healthcare Mcaid $36 34%
Sunshine Mcaid $36 34%
United Mcaid $36 34%
Wellcare Mcaid $36 34%
Medicare (plans) $104 - $1,798 97%
Ambetter / Centene $109 102%
Blue Cross Blue Shield $109 - $619 102%
Opus Hospice Ip Only - All Plans $109 102%
Clear Springs Health - All Plans $115 108%
Unicare Simply Mcare Ppo - All Plans $115 108%
Bright Health Commercial - All Other Plans $131 123%
Ccs - All Plans $147 138%
Fdc - All Plans $153 143%
Cigna $400 374%
Humana $539 - $1,798 505%
Wellcare Comm (Choice) - All Other Plans $600 562%
Leon Med Center Mcr Adv - All Plans $1,618 1515%
Careplus Health - All Other Plans $1,798 1683%
Centurion Doc - All Plans $1,798 1683%
Doctors Healthcare - All Plans $1,798 1683%
Florida Health Solution/Hmo - All Plans $1,798 1683%
Preferred Care Partners Mcr - All Plans $1,798 1683%
Simply Healthcare Mcr - All Other Plans $1,798 1683%
UnitedHealthcare $1,798 1683%
Naphcare - All Plans $2,068 1936%
Oscar Health-All Plans $3,596 3367%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals