CMS Price Transparency Data

X-ray, lower back

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $73
  • Cash Discount Price: $312
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Cleveland Clinic Indian River Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.68x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.
Cash / Self-Pay
$312

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $312 (292%)
Insurance Median: $73 (68%)
Cash: $312 (292% of Medicare)
Ins. Median: $73 (68% 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.

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 $12 - $679 11%
Avmed $13 - $244 12%
Blue Cross Blue Shield $13 - $572 12%
Careplus $13 - $107 12%
Freedom Health $13 - $107 12%
Independent Living Systems $13 - $112 12%
Magellan $13 - $509 12%
United $13 - $107 12%
Value Options $13 12%
Wellcare $13 - $107 12%
Wellmed $13 - $107 12%
Clear Spring Health $14 - $75 13%
Cigna $18 - $255 17%
Clarity Health $73 - $552 68%
The Legacy Companies $73 - $552 68%
National Provider Network $78 73%
Three Rivers $78 73%
Consociate Health $84 79%
Carelon Bh Strategies $107 100%
Humana $107 100%
Devoted Health $117 110%
Bmi $467 437%
Multiplan $679 636%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 36Th St, Vero Beach, FL 32960
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals