CMS Price Transparency Data

X-ray, lower back

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $129
Cash Discount Price: $329
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Surgical Specialty Center of Baton Rouge is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $329. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.21x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$329

Average discount available for prompt cash payment at this facility.

Insurance Median

$129

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: $329 (308%)

Insurance Median: $129 (121%)

Cash: $329 (308% of Medicare)

Ins. Median: $129 (121% 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	$40 - $98	37%
Amerihealth	$40	37%
Healthy_Blue	$40	37%
Humana	$40 - $143	37%
Lhc	$40	37%
Medicaid / KanCare	$40	37%
United_Caid	$40	37%
Coventry	$47	44%
Workcomp_Cov	$47	44%
Verity	$48	45%
Ehn	$77	72%
Cigna	$92	86%
Blue Cross Blue Shield	$95 - $139	89%
Medadv-Peoples	$95	89%
Medicare (plans)	$95	89%
Tricare	$95	89%
UnitedHealthcare	$95	89%
Va	$96	90%
Wellcare	$99	93%
Lsufirst	$129	121%
Lucent	$133	125%
Ambetter / Centene	$198	185%
Gilsbar	$215	201%
Workcomp_Saints	$218	204%
United	$245	229%
Multiplan-Pos	$263	246%
Multiplan-Ppo	$263	246%
Ppoplus	$267	250%
Stjude	$285	267%
Bayou-Med	$307	287%
Dma	$307	287%
Lsu	$307	287%
Southern-Univ	$307	287%
Womans_Hosp	$307	287%
Reny	$328	307%
Uhc_Commcoffee	$355	332%
Workcomp_3R	$355	332%
Three_Rivers	$372	348%
Workcomp_Strat	$372	348%
Geha	$385	360%
Workcomp_Fp	$394	369%
Usa_Mco	$412	386%

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 $329.
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 Surgical Specialty Center of Baton Rouge 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.