CMS Price Transparency Data

X-ray, lower back

Facility: USA Health Children's & Women's Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $145
Cash Discount Price: $252
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at USA Health Children's & Women's Hospital is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.36x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$252

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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: $252 (236%)

Insurance Median: $145 (136%)

Cash: $252 (236% of Medicare)

Ins. Median: $145 (136% 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.

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
Central Healthcare Services	$24 - $397	22%
Blue Cross Blue Shield	$52	49%
Aetna	$53 - $437	50%
Devoted Health	$53 - $556	50%
Humana	$53 - $516	50%
UnitedHealthcare	$53 - $429	50%
Viva Health	$53 - $397	50%
Wellcare	$53	50%
Molina Marketplace	$59	55%
Ambetter / Centene	$64	60%
Mississippi Physicians Care Network (Mpcn)	$72	67%
Magnolia Health	$81	76%
Truecare	$81	76%
Molina Chip	$90	84%
Cigna	$101 - $516	95%
Multiplan	$138 - $556	129%
Novanet	$192 - $715	180%

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 $252.
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 USA Health Children's & Women's 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.