CMS Price Transparency Data

X-ray, lower back

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $643
  • Cash Discount Price: $1,093
  • vs. Medicare Baseline: 6.02x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Baptist Health Medical Center - Jacksonville is $643. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,093. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.02x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$1,093

Average discount available for prompt cash payment at this facility.

Insurance Median
$643

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: $1,093 (1023%)
Insurance Median: $643 (602%)
Cash: $1,093 (1023% of Medicare)
Ins. Median: $643 (602% 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 602% of the Medicare baseline (a markup of 502%). 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
Corvel $33 - $1,576 31%
Coventry Workers Comp $33 - $1,576 31%
Non-Contracted $34 - $241 32%
Amerigroup Of Georgia $36 34%
Caresource Of Georgia $36 - $1,045 34%
Daniel Memorial $36 34%
Humana $36 - $39 34%
Peach State Health Plan $36 - $1,045 34%
Simply Healthcare Plans $37 - $43 35%
Simply Healthcare Plans - Cha $37 35%
Amerihealth Caritas $39 37%
Florida Community Care $39 - $112 37%
Sunshine State Health Plan $39 37%
United Community Plan $39 37%
Vivida Health $39 37%
Molina Healthcare Of Florida $42 39%
Aetna $43 - $1,286 40%
Community Hospice Of Northeast Florida $106 - $107 99%
Pace $106 - $107 99%
Tomorrow'S Rainbow $106 - $107 99%
Va Ccn $106 - $107 99%
UnitedHealthcare $107 - $843 100%
Devoted $113 106%
Upmc $117 110%
Ambetter / Centene $255 - $256 239%
Blue Cross Blue Shield $466 - $26,575 436%
Avmed $515 - $836 482%
Cigna $627 - $981 587%
Borland Groover $643 602%
Occunet $643 - $804 602%
Northeast Florida State Hospital $675 - $756 632%
Centivo $708 - $1,367 663%
Capital Health Plan $740 693%
Innovative Healthware Services $756 708%
Geo Group $804 753%
Volusia Health Network $884 828%
Watchtower $884 828%
Fscj Student Insurance $965 903%
Nemours Research $983 920%
Suddath Company $1,013 948%
Medicaid / KanCare $1,045 978%
Uf Health Proton Therapy Institute $1,126 1054%
Phcs $1,206 - $1,286 1129%
Evolutions Healthcare $1,447 1355%
Multiplan $1,447 1355%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals