CMS Price Transparency Data

X-ray, lower back

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $75
Cash Discount Price: $273
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Atrium Health Navicent Rehabilitation Hopsital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.70x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.

Cash / Self-Pay

$273

Average discount available for prompt cash payment at this facility.

Insurance Median

$75

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: $273 (256%)

Insurance Median: $75 (70%)

Cash: $273 (256% of Medicare)

Ins. Median: $75 (70% 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
Aetna	$12 - $376	11%
Blue Cross Blue Shield	$12 - $106	11%
Care Source	$12 - $108	11%
Clover	$12 - $108	11%
Eon Health	$12 - $108	11%
Georgia Health Advantage	$12 - $106	11%
Humana	$12 - $374	11%
UnitedHealthcare	$12 - $712	11%
Pruitt Health	$13 - $106	12%
Alliant	$14 - $128	13%
Ambetter / Centene	$16 - $278	15%
Cigna	$40 - $133	37%
Ibg	$52 - $385	49%
Kaiser	$53 - $354	50%
Securehealth	$61 - $191	57%
Multiplan	$354 - $436	331%
Novanet	$436	408%
Three Rivers Provider Network	$463	433%
Beechstreet	$507	475%

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 $273.
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 Atrium Health Navicent Rehabilitation Hopsital 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.