CMS Price Transparency Data

X-ray, lower back

Facility: Terrebonne General Medical Center - Parish

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $217
  • Cash Discount Price: $305
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Terrebonne General Medical Center - Parish is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.03x the Medicare baseline. Located in 8166 Main Street, Houma, LA.
Cash / Self-Pay
$305

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

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: $305 (286%)
Insurance Median: $217 (203%)
Cash: $305 (286% of Medicare)
Ins. Median: $217 (203% 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 203% of the Medicare baseline (a markup of 103%). 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
Champ Va $34 32%
Medicaid / KanCare $74 69%
UnitedHealthcare $74 - $412 69%
Amerihealth $75 70%
Aetna $76 - $151 71%
Humana $78 - $285 73%
Blue Cross Blue Shield $93 - $279 87%
Dept Of Veterans Affairs $93 87%
Medicare (plans) $93 87%
Ppoplus $94 88%
Tricare $95 89%
Amg $99 93%
Verity Health $235 220%
Vantage Health Plan $237 222%
Multiplan Inc $268 251%
Cigna $277 259%
Gilsbar 360 $311 - $325 291%
Coventry Health Of Louisiana $330 309%
Workers Comp $412 386%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8166 Main Street, Houma, LA 70360
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals