CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Jfk Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,930
Cash Discount Price: $8,773
vs. Medicare Baseline: 18.07x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Jfk Hospital is $1,930. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,773. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.07x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$8,773

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,930

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: $8,773 (8214%)

Insurance Median: $1,930 (1807%)

Cash: $8,773 (8214% of Medicare)

Ins. Median: $1,930 (1807% 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 1807% of the Medicare baseline (a markup of 1707%). 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 - $3,948	229%
Healthy Palm Beaches	$550	515%
Freedom Health	$754 - $1,404	706%
Optimum	$754	706%
Corvel Corporation	$813	761%
Careworks (Rockport)	$830	777%
Prime Health	$830	777%
Avmed	$1,140 - $4,386	1067%
Simply Healthcare Plans	$1,140	1067%
Molina	$1,491 - $2,369	1396%
Humana	$1,842 - $2,983	1725%
Health Sun Health Plan	$1,869	1750%
Aids Healthcare	$1,930 - $10,528	1807%
Mmm Of Fl (Health Advantage Plan)	$2,018	1889%
United Ppo	$2,079	1946%
Sunshine State Health Plan	$2,281	2136%
Aetna	$2,632	2464%
Blis	$3,071	2875%
District Cares	$4,386	4106%
Plotkin Health	$4,386	4106%
Prime Health Sherriff	$4,386	4106%
Medica Healthcare	$5,176	4846%
Multiplan	$6,580 - $7,457	6160%
Evernorth Bh	$7,018	6571%

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 $8,773.
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 Jfk 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.