CMS Price Transparency Data

X-ray, lower back

Facility: Baycare Hospital Wesley Chapel

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $575
Cash Discount Price: $883
vs. Medicare Baseline: 5.38x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Baycare Hospital Wesley Chapel is $575. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $883. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.38x the Medicare baseline. Located in 4501 Bruce B Downs Blvd, Wesley Chapel, FL.

Cash / Self-Pay

$883

Average discount available for prompt cash payment at this facility.

Insurance Median

$575

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: $883 (827%)

Insurance Median: $575 (538%)

Cash: $883 (827% of Medicare)

Ins. Median: $575 (538% 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 538% of the Medicare baseline (a markup of 438%). 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
Clear Health Alliance	$36	34%
UnitedHealthcare	$36 - $1,324	34%
Freedom Health	$37	35%
Humana	$37 - $133	35%
Molina Healthcare	$37	35%
Simply Healthcare	$37 - $265	35%
Sunshine Health	$37	35%
Aetna	$38 - $1,199	36%
Florida Community Care	$39	37%
Cigna	$79 - $1,280	74%
Baycareplus	$107	100%
Blue Cross Blue Shield	$107 - $778	100%
Solis Health	$117	110%
Wellcare	$149	140%
Ambetter / Centene	$240 - $1,471	225%
Molina	$265 - $869	248%
Freedom	$294	275%
Optimum	$294	275%
Careplus	$336	315%
Ultimate Health Plan	$441	413%
Avmed	$456 - $721	427%
Evolutions	$736 - $1,368	689%
First Health	$1,250	1170%
Multiplan	$1,324	1240%

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 $883.
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 Baycare Hospital Wesley Chapel 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.