CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida West Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $1,415
  • Cash Discount Price: $4,421
  • vs. Medicare Baseline: 13.25x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida West Hospital is $1,415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,421. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.25x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$4,421

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,415

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: $4,421 (4139%)
Insurance Median: $1,415 (1325%)
Cash: $4,421 (4139% of Medicare)
Ins. Median: $1,415 (1325% 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 1325% of the Medicare baseline (a markup of 1225%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $1,989 229%
Freedom Health $561 525%
Simply $681 638%
Corvel Corporation $744 697%
Prime Health $760 712%
Careworks (Rockport Community) $783 733%
Molina Healthcare $840 - $1,415 786%
Humana $884 828%
Avmed $1,061 - $2,210 993%
Sunshine State Health Plan $1,127 1055%
Aetna $1,326 1241%
Plotkin Health $2,210 2069%
Prime Health Sheriff $2,210 2069%
Evolutions Healthcare $2,873 - $3,758 2690%
Multiplan $3,448 - $3,758 3228%
Evernorth $3,537 3311%
Ppo Next $3,758 3518%
Novanet $3,979 3725%
Beacon Health Options $4,421 4139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals