CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Poinciana Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $1,149
  • Cash Discount Price: $4,040
  • vs. Medicare Baseline: 10.76x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Poinciana Hospital is $1,149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,040. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.76x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$4,040

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,149

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: $4,040 (3782%)
Insurance Median: $1,149 (1076%)
Cash: $4,040 (3782% of Medicare)
Ins. Median: $1,149 (1076% 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 1076% of the Medicare baseline (a markup of 976%). 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 - $1,888 229%
Freedom Health $280 - $302 262%
Optimum $280 - $302 262%
Avmed $311 - $2,098 291%
Simply $598 - $646 560%
Molina Healthcare $738 - $1,133 691%
Corvel Corporation $775 726%
Prime Health $791 741%
Careworks (Rockport Community) $816 764%
Evolutions $893 - $965 836%
Sunshine State Health Plan $991 - $1,070 928%
Humana $1,088 - $1,175 1019%
Aetna $1,165 - $1,259 1091%
Plotkin Health $1,942 - $2,098 1818%
Prime Health Sheriff $1,942 - $2,098 1818%
Multiplan $2,914 - $3,566 2728%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals