CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Fawcett Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,309
Cash Discount Price: $5,453
vs. Medicare Baseline: 12.26x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Fawcett Hospital is $1,309. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,453. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.26x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$5,453

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,309

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: $5,453 (5105%)

Insurance Median: $1,309 (1226%)

Cash: $5,453 (5105% of Medicare)

Ins. Median: $1,309 (1226% 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 1226% of the Medicare baseline (a markup of 1126%). 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 - $2,454	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$256	240%
Access 2 Healthcare Physicians Freedom Health	$393	368%
Access 2 Healthcare Physicians Optimum	$393	368%
Freedom Health Care	$425	398%
Optimum Healthcare	$425	398%
Avmed	$436 - $1,363	408%
Corvel Corporation	$761	712%
Rockport Healthcare Group	$761	712%
Prime Health	$777	727%
Simply Healthcare	$840	786%
Molina	$1,036 - $1,472	970%
Evolutions Healthcare Systems	$1,254 - $5,017	1174%
Sunshine State Health Plan	$1,391	1302%
Humana	$1,527	1430%
Aetna	$1,636	1532%
Behealthy America	$2,127	1991%
Healthcare Sarasota	$2,727	2553%
Plotkin Health	$2,727	2553%
Prime Health Sheriff	$2,727	2553%
Multiplan	$4,090 - $4,635	3829%

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 $5,453.
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 Fawcett 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.