CMS Price Transparency Data

X-ray, lower back

Facility: University Hospital and Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,109
Cash Discount Price: $4,265
vs. Medicare Baseline: 10.38x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at University Hospital and Medical Center is $1,109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,265. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.38x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$4,265

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,109

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: $4,265 (3993%)

Insurance Median: $1,109 (1038%)

Cash: $4,265 (3993% of Medicare)

Ins. Median: $1,109 (1038% 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 1038% of the Medicare baseline (a markup of 938%). 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 - $1,919	229%
Freedom Health	$367 - $682	344%
Optimum	$367	344%
Avmed	$554 - $2,133	519%
Simply Healthcare Plans	$554	519%
Molina	$810 - $1,152	758%
Corvel Corporation	$851	797%
Careworks (Rockport)	$869	814%
Prime Health	$869	814%
Humana	$896 - $1,450	839%
Health Sun Health Plan	$908	850%
Mmm Of Fl (Health Advantage Plan)	$981	918%
United Ppo	$1,011	947%
Sunshine State Health Plan	$1,126	1054%
Aetna	$1,280	1198%
Plotkin Health	$2,133	1997%
Prime Health Sherriff	$2,133	1997%
Medica Healthcare	$2,474	2316%
Multiplan	$3,199 - $3,625	2995%
Evernorth Bh	$3,412	3194%

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 $4,265.
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 University Hospital and Medical Center 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.