CMS Price Transparency Data

X-ray, lower back

Facility: Larkin Community Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $112
  • Cash Discount Price: $1,289
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Larkin Community Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,289. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.05x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$1,289

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $1,289 (1207%)
Insurance Median: $112 (105%)
Cash: $1,289 (1207% of Medicare)
Ins. Median: $112 (105% 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
Medicaid / KanCare $25 - $37 23%
Corvel Mcaid Workers Comp $32 30%
Sunshine Behavioral $32 30%
Aetna $36 - $1,842 34%
Ambetter / Centene $36 34%
Community Care Phks Mcaid-All Other Plans $36 34%
Florida Comm Care Mcaid $36 34%
Humana $36 - $1,842 34%
Magellan Complete Care $36 34%
Molina Exch Marketplace-All Other Plans $36 34%
UnitedHealthcare $36 - $144 34%
Blue Cross Blue Shield $101 - $619 95%
Florida Comm Care Mcare-All Other Plans $107 100%
Medicare (plans) $107 - $1,934 100%
Ops Maritime-All Plans $107 100%
Opus Hospice Ip Only-All Plans $107 100%
Preferred Care Partners Mcare-All Plans $107 100%
Clear Springs Hlth-All Plans $112 105%
Unicare Simply Mcare Ppo-All Plans $112 105%
Wellpath-All Plans $117 110%
Fci-All Plans $123 115%
Allianz (Azga)-All Plans $139 130%
Cigna $400 374%
Healthsun-All Plans $553 518%
Star Network-All Plans $737 690%
Jmh Health Plan Hmo/Ppo-All Other Plans $1,013 948%
Global Excel-All Plans $1,105 1035%
Haa Preferred Partners-All Plans $1,105 1035%
Corvel Mcare Workers Comp-All Plans $1,658 1552%
Avmed-All Plans $1,842 1725%
Careplus Health-All Other Plans $1,842 1725%
Centurion-All Plans $1,842 1725%
Coventry Comml-All Plans $1,842 1725%
Doctors Healthcare-All Plans $1,842 1725%
First Med Hp Of Fl-All Plans $1,842 1725%
Florida Health Solution/Hmo-All Plans $1,842 1725%
Bright Health-All Other Plans $2,210 2069%
Oscar Health-All Plans $3,684 3449%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals