CMS Price Transparency Data

X-ray, lower back

Facility: The East Alabama Healthcare Authority

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $178
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at The East Alabama Healthcare Authority is $178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.67x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$178

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: $125 (117%)
Insurance Median: $178 (167%)
Cash: $125 (117% of Medicare)
Ins. Median: $178 (167% 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.

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
Aetna $12 - $230 11%
Blue Cross Blue Shield $12 - $96 11%
Cigna $12 - $190 11%
Humana $12 - $195 11%
Simpra $12 - $96 11%
Viva $12 - $239 11%
Novanet $33 - $34 31%
Beechstreet $92 - $196 86%
Alabama Crime Victims $112 - $115 105%
Mcm Maxcare $178 - $184 167%
Mega Life $178 - $184 167%
UnitedHealthcare $178 - $184 167%
Coventry First Health $190 - $196 178%
Geha $190 - $196 178%
Multiplan $190 - $196 178%
Workers Comp $190 - $196 178%
Trpn $201 - $207 188%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Pepperell Parkway, Opelika, AL 36801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals