CMS Price Transparency Data

X-ray, lower back

Facility: Jeff Davis Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $731
  • Cash Discount Price: $422
  • vs. Medicare Baseline: 6.84x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Jeff Davis Hospital is $731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $422. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.84x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.
Cash / Self-Pay
$422

Average discount available for prompt cash payment at this facility.

Insurance Median
$731

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: $422 (395%)
Insurance Median: $731 (684%)
Cash: $422 (395% of Medicare)
Ins. Median: $731 (684% 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 684% of the Medicare baseline (a markup of 584%). 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
Pen_Network $73 68%
Medicaid / KanCare $168 - $704 157%
Humana $171 - $1,116 160%
Peach_State $171 - $261 160%
Wellcare $171 - $261 160%
Medicare (plans) $267 - $411 250%
Blue Cross Blue Shield $272 - $985 255%
Care_Improvement_Plus $272 - $415 255%
Coventry_Hmo $602 - $919 564%
Coventry_Pos $602 - $919 564%
Uhc_Hmo $645 - $985 604%
Uhc_Indemnity $645 - $985 604%
Uhc_Ppo $645 - $985 604%
Coventry_Ppo $662 - $1,011 620%
Beech_Street $688 - $1,051 644%
Care_Source $688 - $1,051 644%
Cigna $688 - $1,051 644%
One_Health_Ppo $688 - $1,051 644%
Choicecare $731 - $1,116 684%
Community_Care_Network $731 - $1,116 684%
Georgia_Hospital_Network $731 - $1,116 684%
Industry_Buying_Group $731 - $1,116 684%
Novanet $731 - $1,116 684%
Principal_Health_Care_Of_Georgia $731 - $1,116 684%
Three_Rivers_Provider_Network $731 - $1,116 684%
Usa_Managed_Care $731 - $1,116 684%
Memorial_Health_Partners $774 - $1,182 725%
Tricare $800 - $1,222 749%
Multiplan $817 - $1,248 765%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 163 South Tallahassee Street, Hazlehurst, GA 31539
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals