CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Raulerson Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $812
Cash Discount Price: $3,123
vs. Medicare Baseline: 7.60x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Raulerson Hospital is $812. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,123. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.60x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$3,123

Average discount available for prompt cash payment at this facility.

Insurance Median

$812

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: $3,123 (2924%)

Insurance Median: $812 (760%)

Cash: $3,123 (2924% of Medicare)

Ins. Median: $812 (760% 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 760% of the Medicare baseline (a markup of 660%). 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 - $1,405	229%
Freedom Health	$269 - $500	252%
Optimum	$269	252%
Avmed	$406 - $1,562	380%
Simply Healthcare Plans	$406	380%
Molina	$593 - $843	555%
Health Sun Health Plan	$665	623%
Corvel Corporation	$728	682%
Careworks (Rockport)	$744	697%
Prime Health	$744	697%
Sunshine State Health Plan	$796	745%
Aetna	$937	877%
Humana	$1,156 - $1,249	1082%
United Ppo	$1,374	1286%
Plotkin Health	$1,562	1462%
Prime Health Sherriff	$1,562	1462%
Multiplan	$2,342 - $2,655	2193%

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 $3,123.
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 Raulerson 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.