CMS Price Transparency Data

X-ray, lower back

Facility: Santa Rosa Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $109
  • Cash Discount Price: $1,035
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Santa Rosa Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,035. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$1,035

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $1,035 (969%)
Insurance Median: $109 (102%)
Cash: $1,035 (969% of Medicare)
Ins. Median: $109 (102% 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 $28 - $2,322 26%
Medicaid / KanCare $36 - $41 34%
Humana $37 - $107 35%
Wellcare $37 35%
Molina $40 37%
Fl Community Care $41 38%
Prime Health Work Comp Fl $61 57%
Florida Workers Compensation $63 59%
Veterans Eval Services $101 95%
Tricare $104 97%
Blue Cross Blue Shield $107 - $639 100%
Cigna $107 - $936 100%
Medicare (plans) $107 100%
UnitedHealthcare $107 - $803 100%
Hospice Of Nw Fl $109 102%
Node Champva $109 102%
Node Va $109 102%
Node Wellcare Mcr Adv $113 106%
Geo Group $136 127%
Node Us Dept Of Labor $136 127%
Oscar $202 189%
Florida State Auto Insurance $218 204%
Ambetter / Centene $261 244%
Self Pay $952 891%
Prime Health Services $3,312 3101%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals