CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Englewood Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,324
Cash Discount Price: $5,516
vs. Medicare Baseline: 12.40x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Englewood Hospital is $1,324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,516. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.40x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$5,516

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,324

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: $5,516 (5164%)

Insurance Median: $1,324 (1240%)

Cash: $5,516 (5164% of Medicare)

Ins. Median: $1,324 (1240% 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 1240% of the Medicare baseline (a markup of 1140%). 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 - $2,482	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$259	242%
Access 2 Healthcare Physicians Freedom Health	$397	372%
Access 2 Healthcare Physicians Optimum	$397	372%
Freedom Health Care	$430	403%
Optimum Healthcare	$430	403%
Avmed	$441 - $1,379	413%
Corvel Corporation	$786	736%
Rockport Healthcare Group	$786	736%
Prime Health	$802	751%
Simply Healthcare	$849	795%
Molina	$1,048 - $1,489	981%
Evolutions Healthcare Systems	$1,269 - $5,075	1188%
Sunshine State Health Plan	$1,407	1317%
Humana	$1,545	1446%
Aetna	$1,655	1549%
Behealthy America	$2,151	2014%
Healthcare Sarasota	$2,758	2582%
Plotkin Health	$2,758	2582%
Prime Health Sheriff	$2,758	2582%
Multiplan	$4,137 - $4,689	3873%

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 $5,516.
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 Englewood 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.