CMS Price Transparency Data

X-ray, lower back

Facility: Lake Charles Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $98
Cash Discount Price: $304
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Lake Charles Memorial Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.

Cash / Self-Pay

$304

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: $304 (285%)

Insurance Median: $98 (92%)

Cash: $304 (285% 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.

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	$79 - $344	74%
Medicaid / KanCare	$79 - $87	74%
Blue Cross Blue Shield	$97	91%
Champus_Va	$97	91%
Cigna	$97 - $380	91%
Medicare (plans)	$97	91%
Tricare	$97	91%
Veterans_Administration	$97	91%
Veterans_Choice-Triwest	$97	91%
Humana	$99 - $340	93%
Coushatta_Tribe_Dept_Of_Health	$175	164%
Vantage_Commercial	$223	209%
Meritain	$228	213%
Blue_Cross_Blue_Shield_La	$233	218%
Verity	$243	228%
Ppo_Plus_	$304	285%
Phcs	$355	332%
United_Healthcare_Behavorial_Health	$355	332%
United_Healthcare	$364	341%
Lwcc	$387	362%
First_Health	$405	379%
Workers_Compensation	$456	427%

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 $304.
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 Lake Charles 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.