CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,103
Cash Discount Price: $4,665
vs. Medicare Baseline: 10.33x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Pasadena Hospital A Part of HCA Florid is $1,103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,665. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.33x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$4,665

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,103

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: $4,665 (4368%)

Insurance Median: $1,103 (1033%)

Cash: $4,665 (4368% of Medicare)

Ins. Median: $1,103 (1033% 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 1033% of the Medicare baseline (a markup of 933%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$205 - $234	192%
United	$245 - $2,239	229%
Access 2 Healthcare Physicians Freedom Health	$314 - $358	294%
Access 2 Healthcare Physicians Optimum	$314 - $358	294%
Freedom Health Care	$340 - $388	318%
Optimum Healthcare	$340 - $388	318%
Avmed	$348 - $1,244	326%
Simply Healthcare	$671 - $766	628%
Corvel Corporation	$786	736%
Rockport Healthcare Group	$786	736%
Prime Health	$802	751%
Molina	$827 - $1,343	774%
Evolutions Healthcare Systems	$1,002 - $4,577	938%
Sunshine State Health Plan	$1,110 - $1,269	1039%
Humana	$1,219 - $1,393	1141%
Aetna	$1,306 - $1,493	1223%
Plotkin Health	$2,177 - $2,488	2038%
Prime Health Sheriff	$2,177 - $2,488	2038%
Multiplan	$3,266 - $4,229	3058%

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 $4,665.
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 Pasadena Hospital A Part of HCA Florid 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.