CMS Price Transparency Data

X-ray, lower back

Facility: Byrd Regional Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $680
Cash Discount Price: $345
vs. Medicare Baseline: 6.37x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Byrd Regional Hospital is $680. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.37x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.

Cash / Self-Pay

$345

Average discount available for prompt cash payment at this facility.

Insurance Median

$680

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: $345 (323%)

Insurance Median: $680 (637%)

Cash: $345 (323% of Medicare)

Ins. Median: $680 (637% 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 637% of the Medicare baseline (a markup of 537%). 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
Aetna	$36 - $1,151	34%
Coventry Healthcare Of La	$36 - $687	34%
Cigna	$69 - $732	65%
Amerihealth Caritas	$150 - $163	140%
Correct Care Int Hth	$150 - $163	140%
Healthy Blue	$150 - $163	140%
La Healthcare Conn Mdcaid	$150 - $163	140%
Medicaid / KanCare	$150 - $163	140%
UnitedHealthcare	$150 - $1,151	140%
Humana	$164 - $179	154%
Blue Cross Blue Shield	$194	182%
Self Pay	$345	323%
Verity Health	$806	755%
Us Dept Of Labor	$1,036	970%
Workers Comp	$1,036	970%
Aflac	$1,151	1078%
American Health Advantage	$1,151	1078%
Amfirst	$1,151	1078%
Hospice Of Leesville	$1,151	1078%
Industrial	$1,151	1078%
Misc Comm	$1,151	1078%
Mischmoppo	$1,151	1078%
Mutual Of Omaha	$1,151	1078%
Mva	$1,151	1078%
Phcs Private Health	$1,151	1078%
Physicans Mutual	$1,151	1078%
State Farm Insurance	$1,151	1078%
Sterling	$1,151	1078%
Stonetrust	$1,151	1078%
Tri Parish Rehab	$1,151	1078%
United Teacher Asso	$1,151	1078%
Web Tpa	$1,151	1078%

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 $345.
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 Byrd Regional 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.