CMS Price Transparency Data

X-ray, lower back

Facility: Sarasota Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $40
Cash Discount Price: $530
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Sarasota Memorial Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $530. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.37x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$530

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $530 (496%)

Insurance Median: $40 (37%)

Cash: $530 (496% of Medicare)

Ins. Median: $40 (37% 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.

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
Molina Oncology	$8 - $26	7%
Simply Healthcare Oncology	$8 - $25	7%
Sunshine State Oncology	$8 - $25	7%
Amerihealth Caritas Oncology	$9 - $27	8%
Community Care Plan Oncology	$9 - $27	8%
Florida Community Care Oncology	$10 - $45	9%
Blue Cross Blue Shield	$12 - $107	11%
Simply Freedom Optimum Oncology	$13 - $40	12%
UnitedHealthcare	$13 - $1,138	12%
Wellcare Oncology	$13 - $40	12%
Aetna	$17 - $1,212	16%
Oscar Oncology	$21 - $62	20%
Ambetter / Centene	$33 - $288	31%
Simply Healthcare	$36 - $37	34%
Sunshine State	$37	35%
Molina	$38	36%
Amerihealth Caritas	$39	37%
Community Care Plan	$39	37%
Florida Community Care	$39 - $117	37%
Simply Freedom Optimum	$112	105%
Wellcare	$112	105%
Careworks	$475 - $857	445%
Enlyte	$475 - $857	445%
Avmed	$830 - $1,106	777%
Usa Managed Care	$910 - $1,212	852%
First Health	$944 - $1,257	884%

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 $530.
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 Sarasota Memorial 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.