CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Orange Park Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $2,030
Cash Discount Price: $5,719
vs. Medicare Baseline: 19.01x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Orange Park Hospital is $2,030. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,719. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.01x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$5,719

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,030

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: $5,719 (5354%)

Insurance Median: $2,030 (1901%)

Cash: $5,719 (5354% of Medicare)

Ins. Median: $2,030 (1901% 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 1901% of the Medicare baseline (a markup of 1801%). 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 - $2,573	229%
Optimum Healthcare	$480	449%
Avmed	$686 - $1,601	642%
Corvel Corporation	$774	725%
Prime Health	$790	740%
Simply Healthcare	$881	825%
Positive Healthcare	$1,258	1178%
Sunshine State Health Plan	$1,458	1365%
Molina Healthcare	$1,544	1446%
Aetna	$1,716	1607%
Humana	$2,345	2195%
Medicare (plans)	$2,573	2409%
Plotkin Health	$2,859	2677%
Multiplan	$4,461 - $4,861	4177%
Evernorth	$4,575	4283%
Evolutions Healthcare	$4,575 - $4,861	4283%
Ppo Next	$4,861	4551%
Novanet	$5,147	4819%

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 $5,719.
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 Orange Park 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.