CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Lawnwood Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $1,020
  • Cash Discount Price: $5,845
  • vs. Medicare Baseline: 9.55x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Lawnwood Hospital is $1,020. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,845. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.55x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$5,845

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,020

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: $5,845 (5472%)
Insurance Median: $1,020 (955%)
Cash: $5,845 (5472% of Medicare)
Ins. Median: $1,020 (955% 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 955% of the Medicare baseline (a markup of 855%). 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
Blue Cross Blue Shield $31 - $5,746 29%
Pinnacol Workers Comp $169 158%
Multiplan $176 - $6,989 165%
United $185 - $3,494 173%
Rocky Mountain Health Plan $245 229%
Cigna $268 - $4,970 251%
Freedom Health $337 - $628 316%
Optimum $337 316%
Avmed $510 - $1,962 477%
Simply Healthcare Plans $510 477%
Molina $746 - $1,059 698%
Corvel Corporation $806 755%
Careworks (Rockport) $823 771%
Prime Health $823 - $6,989 771%
Health Sun Health Plan $836 783%
Sunshine State Health Plan $1,001 937%
Aetna $1,177 - $4,100 1102%
Vail Health $1,180 1105%
Office Of Sheiff Highland Co $1,373 1285%
Humana $1,452 - $1,570 1359%
Kaiser $1,553 - $2,757 1454%
United Ppo $1,727 1617%
Plotkin Health $1,962 1837%
Prime Health Sherriff $1,962 1837%
Bright Health $2,330 2181%
Evernorth Bh $3,139 2939%
Western Plains Community Health $5,048 4726%
Northcare $5,436 5089%
Physician Health Partners $5,436 5089%
Medical Development International $6,212 5816%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals