CMS Price Transparency Data

X-ray, lower back

Facility: Rockcastle County Hospital, Inc.

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $98
  • Cash Discount Price: $182
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Rockcastle County Hospital, Inc. is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$182

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $182 (170%)
Insurance Median: $98 (92%)
Cash: $182 (170% of Medicare)
Ins. Median: $98 (92% 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
Passport Hp Hmo - All Plans $21 - $109 20%
Caresource Mcaid $38 36%
Coventry Mcaid-All Plans $38 36%
Medicaid / KanCare $38 36%
Molina Mcaid $38 36%
UnitedHealthcare $38 - $350 36%
Blue Cross Blue Shield $52 - $302 49%
Multiplan-All Plans $65 - $342 61%
Prime Health Services-All Plans $65 - $342 61%
Corvel - All Plans $69 - $362 65%
Integrated Hp-All Plans $69 - $358 65%
Center Care-All Plans $73 - $382 68%
Tricare $74 69%
Cigna $75 - $390 70%
Caresource Mcr Adv-All Other Plans $98 92%
Humana $98 - $322 92%
Molina Marketplace - All Other Plans $98 92%
Molina Mcr Adv $98 92%
Signature Mcr Adv-All Plans $98 92%
Wellcare Mcr Adv-All Other Plans $98 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals