CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,044
Cash Discount Price: $3,662
vs. Medicare Baseline: 9.77x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Memorial Hospital is $1,044. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,662. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.77x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$3,662

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,044

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: $3,662 (3429%)

Insurance Median: $1,044 (977%)

Cash: $3,662 (3429% of Medicare)

Ins. Median: $1,044 (977% 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 977% of the Medicare baseline (a markup of 877%). 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 - $1,648	229%
Optimum Healthcare	$308	288%
Avmed	$439 - $1,025	411%
Simply Healthcare	$564	528%
City Of Jacksonville	$774	725%
Corvel Corporation	$774	725%
Prime Health	$790	740%
Positive Healthcare	$806	755%
Sunshine State Health Plan	$934	874%
Molina Healthcare	$989	926%
Centurion	$1,014	949%
Humana	$1,062	994%
Aetna	$1,099	1029%
Corizon	$1,099	1029%
Plotkin Health	$1,831	1714%
Multiplan	$2,856 - $3,113	2674%
Evernorth	$2,930	2743%
Evolutions Healthcare	$2,930 - $3,113	2743%
Ppo Next	$3,113	2915%
Novanet	$3,296	3086%

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 $3,662.
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 Memorial 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.