CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Northwest Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,062
Cash Discount Price: $4,085
vs. Medicare Baseline: 9.94x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Northwest Hospital is $1,062. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,085. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.94x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$4,085

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,062

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: $4,085 (3825%)

Insurance Median: $1,062 (994%)

Cash: $4,085 (3825% of Medicare)

Ins. Median: $1,062 (994% 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 994% of the Medicare baseline (a markup of 894%). 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 - $1,838	229%
Freedom Health	$351 - $654	329%
Optimum	$351	329%
Avmed	$531 - $2,042	497%
Simply Healthcare Plans	$531	497%
Molina	$776 - $1,103	727%
Corvel Corporation	$851	797%
Humana	$858 - $1,389	803%
Careworks (Rockport)	$869	814%
Prime Health	$869	814%
Health Sun Health Plan	$870	815%
Mmm Of Fl (Health Advantage Plan)	$940	880%
United Ppo	$968	906%
Sunshine State Health Plan	$1,078	1009%
Aetna	$1,226	1148%
Blis	$1,430	1339%
Plotkin Health	$2,042	1912%
Prime Health Sherriff	$2,042	1912%
Medica Healthcare	$2,369	2218%
Multiplan	$3,064 - $3,472	2869%

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 $4,085.
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 Northwest 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.