CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $1,731
  • Cash Discount Price: $4,556
  • vs. Medicare Baseline: 16.21x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Gulf Coast Hospital is $1,731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,556. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.21x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
$4,556

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,731

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: $4,556 (4266%)
Insurance Median: $1,731 (1621%)
Cash: $4,556 (4266% of Medicare)
Ins. Median: $1,731 (1621% 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 1621% of the Medicare baseline (a markup of 1521%). 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 - $2,082 229%
Simply $691 - $712 647%
Corvel Corporation $721 675%
Prime Health $736 689%
Careworks (Rockport Community) $759 711%
Molina Healthcare $852 - $1,480 798%
Avmed $1,077 - $2,313 1008%
Sunshine State Health Plan $1,144 - $1,180 1071%
Aetna $1,346 - $1,388 1260%
Humana $1,705 - $1,758 1596%
Plotkin Health $2,243 - $2,313 2100%
Prime Health Sheriff $2,243 - $2,313 2100%
Multiplan $3,499 - $3,932 3276%
Ppo Next $3,813 - $3,932 3570%
Novanet $4,037 - $4,163 3780%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals