CMS Price Transparency Data

X-ray, lower back

Facility: Avoyelles Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $617
  • Cash Discount Price: $206
  • vs. Medicare Baseline: 5.78x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Avoyelles Hospital is $617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.78x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$206

Average discount available for prompt cash payment at this facility.

Insurance Median
$617

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: $206 (193%)
Insurance Median: $617 (578%)
Cash: $206 (193% of Medicare)
Ins. Median: $617 (578% 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 578% of the Medicare baseline (a markup of 478%). 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
Aetna $52 - $385 49%
Amer Contl Ins $52 - $385 49%
Coventry $52 - $385 49%
First Choice Health $52 - $385 49%
Meritan Health $52 - $686 49%
Cigna $143 - $387 134%
Correct Cr Int Hlt $143 134%
Mcd Amerihealth Caritas $143 134%
Mcd Healthy Blue $143 134%
Mcd La Hc Conn $143 134%
Medicaid / KanCare $143 134%
UnitedHealthcare $143 134%
Mcd Ms $157 147%
Blue Cross Blue Shield $176 165%
Ofc Of Grp Bene $176 165%
Student Assurances $206 - $686 193%
Humana $247 - $389 231%
Ppo Plus Llc $411 385%
Zelis Healthcare Bpa $411 385%
Gilsbar $432 404%
Amerind $617 578%
Applied Underwriters $617 578%
Sedgwick $617 578%
Us Dept Of Labor $617 578%
Wc Clms Admin Svcs $617 578%
Wc Clms Mgmnt Walmart $617 578%
Wc Esis $617 578%
Wc Fara $617 578%
Wc Gallagher Bassett $617 578%
Wc Guide One $617 578%
Wc Hartford Med $617 578%
Wc Luba $617 578%
Wc Lwcc $617 578%
Wc Paragon Casino Resort $617 578%
Wc Risk Mgmnt $617 578%
Wc Stone Trust $617 578%
Wc Summit Consulting Hold $617 578%
Wc Travelers Ins $617 578%
Wc Trs Workers Comp Claim $617 578%
Wc Us Dol $617 578%
Wc Zurich $617 578%
Aarp $686 642%
Admin Concepts $686 642%
All Saints Hospice $686 642%
All State $686 642%
Allegiance Health Hospice $686 642%
Allied Natl $686 642%
Amfirst $686 642%
Avoy Parish School Board $686 642%
Avoyelles Parish Sheriff $686 642%
Bollinger $686 642%
Ccmsi $686 642%
Central States $686 642%
Christus Health Plan $686 642%
Compassionate Care Hospic $686 642%
Core Source $686 642%
Coushatta Hlth Dept $686 642%
Ebms $686 642%
Federated Ins $686 642%
Feedom Life $686 642%
Fidelity Standard Life Co $686 642%
Fox Everette $686 642%
Guarantee Trust $686 642%
Heart Of Hospice $686 642%
Hos Christus Hospice $686 642%
Hos Guardian Hospice Care $686 642%
Hos Harbor Hospice Alex $686 642%
Hos La Hospice Palliative $686 642%
Hos Passages Hospice N. $686 642%
Hos St Joseph Hospice $686 642%
Hospice Miscellaneous $686 642%
Ins Mgmnt Admin $686 642%
Ins Tpa $686 642%
Liberty Health Share $686 642%
Lumico $686 642%
Manhattan Life Ins $686 642%
Medi Share $686 642%
Misc Comm $686 642%
Nalc $686 642%
New Era Life $686 642%
North American $686 642%
Phcs $686 642%
Physicians Mutual $686 642%
Pipeline Ind Bene $686 642%
Progressive Auto $686 642%
Reliance Standard Life $686 642%
Rural Carriers $686 642%
Shelter Ins Co $686 642%
Sierre Health And Life $686 642%
State Farm $686 642%
State Mutual $686 642%
Sterling Investors $686 642%
The Health Plan $686 642%
Tribal Hlth Partners $686 642%
Tricare $686 642%
Trustmark Health Benefits $686 642%
Tunica Biloxi $686 642%
Uct $686 642%
Unified Life $686 642%
Usaa Life Ins $686 642%
Web-Tpa $686 642%
Woodmen Of The World $686 642%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals