CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Trinity Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,466
Cash Discount Price: $6,107
vs. Medicare Baseline: 13.73x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Trinity Hospital is $1,466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,107. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.73x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$6,107

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,466

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: $6,107 (5718%)

Insurance Median: $1,466 (1373%)

Cash: $6,107 (5718% of Medicare)

Ins. Median: $1,466 (1373% 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 1373% of the Medicare baseline (a markup of 1273%). 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 - $2,748	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$287	269%
Access 2 Healthcare Physicians Freedom Health	$440	412%
Access 2 Healthcare Physicians Optimum	$440	412%
Freedom Health Care	$476	446%
Optimum Healthcare	$476	446%
Avmed	$489 - $1,527	458%
Corvel Corporation	$786	736%
Rockport Healthcare Group	$786	736%
Prime Health	$802	751%
Simply Healthcare	$940	880%
Molina	$1,160 - $1,649	1086%
Evolutions Healthcare Systems	$1,405 - $5,618	1315%
Sunshine State Health Plan	$1,557	1458%
Humana	$1,710	1601%
Aetna	$1,832	1715%
Beacon Health Options	$3,053	2858%
Plotkin Health	$3,053	2858%
Prime Health Sheriff	$3,053	2858%
Multiplan	$4,580 - $5,191	4288%
Evernorth	$4,885	4574%

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 $6,107.
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 Trinity 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.