CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Northside Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,853
Cash Discount Price: $8,236
vs. Medicare Baseline: 17.35x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Northside Hospital is $1,853. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,236. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.35x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$8,236

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,853

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: $8,236 (7711%)

Insurance Median: $1,853 (1735%)

Cash: $8,236 (7711% of Medicare)

Ins. Median: $1,853 (1735% 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 1735% of the Medicare baseline (a markup of 1635%). 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 - $3,706	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$387	362%
Access 2 Healthcare Physicians Freedom Health	$593	555%
Access 2 Healthcare Physicians Optimum	$593	555%
Freedom Health Care	$642	601%
Optimum Healthcare	$642	601%
Avmed	$659 - $2,059	617%
Corvel Corporation	$786	736%
Rockport Healthcare Group	$786	736%
Prime Health	$802	751%
Simply Healthcare	$1,268	1187%
Molina	$1,565 - $2,224	1465%
Evolutions Healthcare Systems	$1,894 - $7,577	1773%
Sunshine State Health Plan	$2,100	1966%
Humana	$2,306	2159%
Aetna	$2,471	2313%
Plotkin Health	$4,118	3855%
Prime Health Sheriff	$4,118	3855%
Multiplan	$6,177 - $7,001	5783%

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 $8,236.
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 Northside 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.