CMS Price Transparency Data

X-ray, lower back

Facility: Missouri Baptist Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $290
Cash Discount Price: $316
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Missouri Baptist Medical Center is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.72x the Medicare baseline. Located in 3015 N Ballas Rd, Saint Louis, MO.

Cash / Self-Pay

$316

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $316 (296%)

Insurance Median: $290 (272%)

Cash: $316 (296% of Medicare)

Ins. Median: $290 (272% 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 272% of the Medicare baseline (a markup of 172%). 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
Blue Cross Blue Shield	$72 - $458	67%
Consociate [478]	$94	88%
Sarah Bush Lincoln [636]	$94	88%
Humana	$98 - $105	92%
Aetna	$105 - $395	98%
Essence Healthcare [221]	$105	98%
Healthscope Benefits [258]	$105 - $296	98%
UnitedHealthcare	$105 - $392	98%
Cox Health [757]	$110	103%
Devoted Health Plan [847]	$110	103%
Medica [662]	$110	103%
Allied Benefits [498]	$117 - $392	110%
Coresource [497]	$117	110%
Fmh Benefit Service Inc [222]	$117	110%
Mail Handlers [495]	$117	110%
Cigna	$122 - $136	114%
Apwu Health Plan [216]	$136	127%
Nalc Health Benefit Plan [242]	$136	127%
Priority Health [648]	$136	127%
Healthlink [225]	$256 - $398	240%
Cox Health Systems Insurance Company [220]	$290 - $343	272%
Health Alliance [224]	$290	272%
Med-Pay [480]	$343 - $395	321%
Unicare [568]	$343 - $398	321%
First Health Commercial [734]	$392	367%
Beechstreet [551]	$395	370%
Detego Health [868]	$395	370%
Health Systems Inc [620]	$395	370%
Healthcare Sol Mercy [609]	$395	370%
Multiplan Commercial [737]	$395	370%
Multiplan [240]	$395	370%
Phcs [244]	$395 - $422	370%
Preferred Health Professionals [561]	$398	373%
Hfn [563]	$422	395%
Medica [661]	$422	395%

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 $316.
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 Missouri Baptist 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.