CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $2,011
Cash Discount Price: $4,036
vs. Medicare Baseline: 18.83x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Fort Walton-Destin Hospital is $2,011. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,036. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.83x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$4,036

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,011

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: $4,036 (3779%)

Insurance Median: $2,011 (1883%)

Cash: $4,036 (3779% of Medicare)

Ins. Median: $2,011 (1883% 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 1883% of the Medicare baseline (a markup of 1783%). 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 - $1,822	229%
Simply	$619 - $624	580%
Molina Healthcare	$764 - $1,296	715%
Corvel Corporation	$782	732%
Prime Health	$799	748%
Careworks (Rockport Community)	$823	771%
Avmed	$965 - $2,025	903%
Sunshine State Health Plan	$1,026 - $1,033	961%
Aetna	$1,207 - $1,215	1130%
Humana	$1,528 - $1,539	1431%
Plotkin Health	$2,011 - $2,025	1883%
Prime Health Sheriff	$2,011 - $2,025	1883%
Evolutions Healthcare	$2,615 - $3,645	2448%
Naphcare	$2,615 - $2,632	2448%
Multiplan	$3,137 - $3,442	2937%
Evernorth	$3,218 - $3,240	3013%
Ppo Next	$3,419 - $3,442	3201%
Novanet	$3,620 - $3,645	3389%
Beacon Health Options	$4,022 - $4,050	3766%

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 $4,036.
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 Fort Walton-Destin 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.