CMS Price Transparency Data

X-ray, lower back

Facility: Ochsner St Anne General Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $162
Cash Discount Price: $230
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Ochsner St Anne General Hospital is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.52x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$230

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $230 (215%)

Insurance Median: $162 (152%)

Cash: $230 (215% of Medicare)

Ins. Median: $162 (152% 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
Medicaid / KanCare	$81	76%
Aetna	$130 - $160	122%
Tricare	$145 - $161	136%
Humana	$156 - $162	146%
UnitedHealthcare	$156 - $245	146%
Healthy Blue (Healthy Louisiana)	$159	149%
Louisiana Healthcare Connections (Healthy Louisiana)	$159	149%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$160	150%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$162	152%
Blue Cross Blue Shield	$162 - $201	152%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$162	152%
Medicare (plans)	$162	152%
Ochsner Health Plan	$162	152%
Healthcomp & Personify Health (Formerly Gilsbar)	$392	367%
Louisiana Workers' Compensation Corporation (Lwcc)	$392	367%
Mississippi Physicians Care Network	$392	367%
Employers Health Network (Ehn)	$444	416%
First Health Network	$444	416%
Prime Health Services Ppo	$444	416%
Claritev D/B/A Multiplan/Phcs/American Life Care	$470	440%
Usa Managed Care Network	$470	440%
Zelis	$470	440%
Cigna	$500	468%

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 $230.
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 Ochsner St Anne General 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.