CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Osceola Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,455
Cash Discount Price: $4,610
vs. Medicare Baseline: 13.62x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Osceola Hospital is $1,455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,610. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.62x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$4,610

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,455

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: $4,610 (4316%)

Insurance Median: $1,455 (1362%)

Cash: $4,610 (4316% of Medicare)

Ins. Median: $1,455 (1362% 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 1362% of the Medicare baseline (a markup of 1262%). 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 - $2,234	229%
Freedom Health	$306 - $357	286%
Optimum	$306 - $357	286%
Avmed	$340 - $2,482	318%
Simply	$655 - $764	613%
Corvel Corporation	$775	726%
Prime Health	$791	741%
Molina Healthcare	$809 - $1,340	757%
Careworks (Rockport Community)	$816	764%
Evolutions	$979 - $1,142	917%
Sunshine State Health Plan	$1,085 - $1,266	1016%
Humana	$1,192 - $1,390	1116%
Aetna	$1,277 - $1,489	1196%
Plotkin Health	$2,128 - $2,482	1992%
Prime Health Sheriff	$2,128 - $2,482	1992%
Multiplan	$3,192 - $4,219	2988%
Evernorth	$3,404 - $3,971	3187%
Ppo Next	$3,617 - $4,219	3386%
Novanet	$3,830 - $4,467	3586%
Beacon Health Options	$4,256 - $4,964	3985%

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 $4,610.
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 Osceola 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.