CMS Price Transparency Data

X-ray, lower back

Facility: Medical Center Enterprise

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $96
  • Cash Discount Price: $576
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Medical Center Enterprise is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $576. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$576

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $576 (539%)
Insurance Median: $96 (90%)
Cash: $576 (539% of Medicare)
Ins. Median: $96 (90% 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
Al Maternity Waiver Program $23 22%
Medicaid / KanCare $30 - $35 28%
Blue Cross Blue Shield $76 - $89 71%
Tricare $86 81%
Humana $89 83%
Medicare (plans) $89 83%
UnitedHealthcare $89 - $224 83%
Covenant Hospice $90 84%
Dayspring Hospice $90 84%
Healthspring $90 84%
Node Champva $90 84%
Node Devoted Health Mcr Adv $90 84%
Node Hospice Non Par $90 84%
Node Va $90 84%
Select Health $90 84%
Southerncare Hospice $90 84%
Aetna $91 - $2,067 85%
Node Clover Mcr Adv $91 85%
Node Wellcare Mcr Adv $92 86%
Veterans Eval Services $92 86%
Eon Health $93 87%
Wiregrass Hospice $96 90%
Node Us Dept Of Labor $113 106%
Ambetter / Centene $135 126%
Cigna $152 - $957 142%
Occunet $158 148%
Self Pay $266 - $886 249%
American Employee Alliance $1,181 1106%
Alamed $1,771 1658%
Affordable Health $2,067 1935%
Health Choice $2,067 1935%
Novanet Ppo $2,067 1935%
Coventry Work Comp Al $2,173 2034%
Multiplan $2,185 - $2,332 2046%
Wc Dept Ind Relations $2,362 2211%
Corvel $2,509 2349%
Galaxy Health $2,657 2488%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals