CMS Price Transparency Data

X-ray, lower back

Facility: Baptist Medical Center - Nassau

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $595
  • Cash Discount Price: $997
  • vs. Medicare Baseline: 5.57x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Baptist Medical Center - Nassau is $595. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $997. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.57x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$997

Average discount available for prompt cash payment at this facility.

Insurance Median
$595

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: $997 (933%)
Insurance Median: $595 (557%)
Cash: $997 (933% of Medicare)
Ins. Median: $595 (557% 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 557% of the Medicare baseline (a markup of 457%). 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
Amerigroup Of Georgia $36 34%
Corvel $36 - $1,576 34%
Coventry Workers Comp $36 - $1,576 34%
Daniel Memorial $36 34%
Humana $36 34%
Nassaua County Sheriff'S Office $36 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 $107 100%
Pace $107 100%
Tomorrow'S Rainbow $107 100%
Va Ccn $107 100%
UnitedHealthcare $108 - $790 101%
Devoted $113 106%
Upmc $117 110%
Ambetter / Centene $256 240%
Blue Cross Blue Shield $466 - $1,045 436%
Avmed $515 - $1,206 482%
Borland Groover $643 602%
Occunet $643 602%
Northeast Florida State Hospital $675 632%
Centivo $708 - $1,367 663%
Capital Health Plan $740 693%
Geo Group $804 753%
Watchtower $884 828%
Fscj Student Insurance $965 903%
Savannah Grand Of Amelia Island $965 903%
Cigna $997 - $1,229 933%
Suddath Company $1,013 948%
Medicaid / KanCare $1,045 978%
Peach State Health Plan $1,045 978%
Phcs $1,206 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: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals