CMS Price Transparency Data

X-ray, lower back

Facility: Acadian Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $725
Cash Discount Price: $218
vs. Medicare Baseline: 6.79x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Acadian Medical Center is $725. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.79x the Medicare baseline. Located in 3501 Highway 190 East, Eunice, LA.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$725

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: $218 (204%)

Insurance Median: $725 (679%)

Cash: $218 (204% of Medicare)

Ins. Median: $725 (679% 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 679% of the Medicare baseline (a markup of 579%). 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
Pp0/Manged Care	$46 - $725	43%
Ppo/Manged Care	$46 - $725	43%
Aetna	$137	128%
Mcd Hmo Amerigroup	$137	128%
Mcd Hmo La Care	$137	128%
Mcd Hmo La Hlth Cr Connct	$137	128%
Medicaid / KanCare	$137 - $725	128%
UnitedHealthcare	$137	128%
Mcd Hmo Com Hlth Solution	$151	141%
Blue Cross Blue Shield	$211	198%
Charity/Map	$218 - $725	204%
American Postal Workers	$461	432%
Work Comp	$652	610%
Auto Insurance	$725	679%
Bankers Fidelity	$725	679%
Commerical	$725	679%
Commerical Ip	$725	679%
Industrial	$725	679%
Medicare (plans)	$725	679%
Mra Auto/Liability	$725	679%

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 $218.
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 Acadian Medical Center 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.