CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Mercy Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $807
Cash Discount Price: $3,105
vs. Medicare Baseline: 7.56x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Mercy Hospital is $807. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,105. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.56x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$3,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$807

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: $3,105 (2907%)

Insurance Median: $807 (756%)

Cash: $3,105 (2907% of Medicare)

Ins. Median: $807 (756% 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 756% of the Medicare baseline (a markup of 656%). 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 - $1,397	229%
Freedom Health	$267 - $497	250%
Optimum	$267	250%
Avmed	$373 - $1,552	349%
Simply Healthcare Plans	$404	378%
Molina	$590 - $838	552%
Humana	$652 - $1,056	610%
Health Sun Health Plan	$661	619%
Aids Healthcare	$683 - $3,726	639%
Mmm Of Fl (Health Advantage Plan)	$714	668%
United Ppo	$736	689%
Sunshine State Health Plan	$807	756%
Corvel Corporation	$844	790%
Careworks (Rockport)	$862	807%
Prime Health	$862	807%
Aetna	$932	873%
Plotkin Health	$1,552	1453%
Prime Health Sherriff	$1,552	1453%
Medica Healthcare	$1,832	1715%
Multiplan	$2,329 - $2,639	2181%
Evernorth Bh	$2,484	2326%

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 $3,105.
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 Mercy 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.