CMS Price Transparency Data

X-ray, lower back

Facility: Perry County Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $344
Cash Discount Price: $410
vs. Medicare Baseline: 3.22x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Perry County Memorial Hospital is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $410. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.22x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$410

Average discount available for prompt cash payment at this facility.

Insurance Median

$344

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: $410 (384%)

Insurance Median: $344 (322%)

Cash: $410 (384% of Medicare)

Ins. Median: $344 (322% 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 322% of the Medicare baseline (a markup of 222%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$91 - $586	85%
Veterans Administration	$146 - $586	137%
Bc 130	$152 - $468	142%
Group Insurance	$152 - $586	142%
Medicare (plans)	$152	142%
Workers Compensation	$293	274%
Nsa	$344 - $362	322%
Guarantor Liable	$410 - $586	384%
Pcmh Insurnace	$457 - $586	428%
Secondary Insurance	$468	438%
UnitedHealthcare	$468	438%
Operating Engineers	$498	466%
Boilermakers Healthcare	$510	477%
Cigna	$510	477%
Great West	$510 - $586	477%
Sagxxxx	$510	477%
Champus	$586	549%
Ngs American, Inc	$586	549%
Patoka Valley	$586	549%
Southwire	$586	549%
Tricare	$586	549%
Wausau Benefits	$586	549%

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 $410.
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 Perry County Memorial 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.