CMS Price Transparency Data

X-ray, lower back

Facility: Lower Keys Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $190
  • Cash Discount Price: $540
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Lower Keys Medical Center is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $540. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.78x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$540

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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: $540 (506%)
Insurance Median: $190 (178%)
Cash: $540 (506% of Medicare)
Ins. Median: $190 (178% 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
Florida Childrens Medical Services $54 51%
Medicaid / KanCare $54 - $60 51%
South Florida Community Care Network $54 51%
Humana $56 - $115 52%
Amerigroup $60 56%
Positive Healthcare $60 56%
Simply Healthcare $60 - $540 56%
Wellcare $60 56%
Wellcare Healthease $60 56%
Molina $61 57%
UnitedHealthcare $62 - $1,340 58%
Prestige Health Choice $63 59%
Magellan $65 61%
Prime Health Work Comp Fl $67 63%
Fl Work Comp $69 65%
Heritage Summit Work Comp Fl $69 65%
Veterans Eval Services $101 95%
Tricare $111 104%
Blue Cross Blue Shield $115 - $1,683 108%
Medicare (plans) $115 108%
Ultimate Health $115 108%
Node Champva $117 110%
Node Non Par Hospice Agree $117 110%
Node United Behavioral Va Ccn $117 110%
Node Va $117 110%
Correct Care Solutions $129 121%
Node Us Dept Of Labor $146 137%
State Auto Insurance Fl $234 219%
Self Pay $471 - $610 441%
Cigna $1,028 962%
Aetna $1,217 1139%
Monroe County $1,307 1224%
Evolutions Healthcare Systems $1,394 - $1,656 1305%
Keys Energy $1,394 1305%
Prime Health Ppo $1,394 1305%
Avmed Health Plan $1,482 1388%
Direct Healthcare $1,743 1632%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals