CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,373
Cash Discount Price: $5,438
vs. Medicare Baseline: 12.85x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Sarasota Doctors Hospital is $1,373. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,438. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.85x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.

Cash / Self-Pay

$5,438

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,373

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: $5,438 (5091%)

Insurance Median: $1,373 (1285%)

Cash: $5,438 (5091% of Medicare)

Ins. Median: $1,373 (1285% 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 1285% of the Medicare baseline (a markup of 1185%). 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 - $2,447	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$256	240%
Access 2 Healthcare Physicians Freedom Health	$392	367%
Access 2 Healthcare Physicians Optimum	$392	367%
Freedom Health Care	$424	397%
Optimum Healthcare	$424	397%
Avmed	$435 - $1,360	407%
Corvel Corporation	$786	736%
Rockport Healthcare Group	$786	736%
Prime Health	$802	751%
Simply Healthcare	$838	785%
Molina	$1,033 - $1,468	967%
Evolutions Healthcare Systems	$1,251 - $5,003	1171%
Sunshine State Health Plan	$1,387	1299%
Humana	$1,523	1426%
Aetna	$1,632	1528%
Behealthy America	$2,121	1986%
Beacon Health Options	$2,719	2546%
Healthcare Sarasota	$2,719	2546%
Plotkin Health	$2,719	2546%
Prime Health Sheriff	$2,719	2546%
Multiplan	$4,079 - $4,623	3819%
Evernorth	$4,351	4074%

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 $5,438.
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 Sarasota Doctors 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.