CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Palms West Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $830
Cash Discount Price: $3,699
vs. Medicare Baseline: 7.77x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Palms West Hospital is $830. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,699. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.77x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$3,699

Average discount available for prompt cash payment at this facility.

Insurance Median

$830

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: $3,699 (3463%)

Insurance Median: $830 (777%)

Cash: $3,699 (3463% of Medicare)

Ins. Median: $830 (777% 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 777% of the Medicare baseline (a markup of 677%). 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 - $1,665	229%
Freedom Health	$318 - $592	298%
Optimum	$318	298%
Avmed	$481 - $1,850	450%
Simply Healthcare Plans	$481	450%
Healthy Palm Beaches	$550	515%
Molina	$703 - $999	658%
Humana	$777 - $1,258	727%
Health Sun Health Plan	$788	738%
Corvel Corporation	$813	761%
Aids Healthcare	$814 - $4,439	762%
Careworks (Rockport)	$830	777%
Prime Health	$830	777%
Mmm Of Fl (Health Advantage Plan)	$851	797%
United Ppo	$877	821%
Sunshine State Health Plan	$962	901%
Aetna	$1,110	1039%
Health Care District	$1,850	1732%
Palm Beach Juvenile Correction	$1,850	1732%
Plotkin Health	$1,850	1732%
Prime Health Sherriff	$1,850	1732%
Medica Healthcare	$2,145	2008%
Multiplan	$2,774 - $3,144	2597%

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 $3,699.
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 Palms West 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.