CMS Price Transparency Data

X-ray, lower back

Facility: Merit Health Wesley

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $94
  • Cash Discount Price: $519
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Merit Health Wesley is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $519. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.88x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$519

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $519 (486%)
Insurance Median: $94 (88%)
Cash: $519 (486% of Medicare)
Ins. Median: $94 (88% 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.

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 $30 - $310 28%
Ms Work Comp $69 65%
Magnolia $81 - $91 76%
Tricare $81 - $90 76%
UnitedHealthcare $81 - $228 76%
First Choice $82 - $1,628 77%
Humana $82 - $91 77%
Magnolia Mcd Ms Chip $82 77%
Medicare (plans) $82 - $91 77%
Node Vantage Mcr Adv $82 - $91 77%
Caresource Truecare $83 78%
Molina $84 - $93 79%
Node Devoted Health Mcr Adv $84 - $93 79%
Node First Choice American Health Mcr Adv $84 - $93 79%
Node Hospice Non Par Agree $84 - $93 79%
Node Va $84 - $93 79%
Aetna $85 - $849 80%
Node Champva $85 - $94 80%
Node First Choice Wellcare Mcr Adv $85 - $95 80%
Molina Chip $88 82%
Veterans Eval Services $91 85%
Node Healthy Mississippi Mcr Adv $92 - $102 86%
Node Us Dept Of Labor $104 - $116 97%
First Choice Molina $142 - $158 133%
Magnolia Exchange $146 - $162 137%
Molina Exchange $152 - $169 142%
First Choice Lgp $182 - $202 170%
Vantage Health $188 - $209 176%
Advanced Health Systems $218 - $242 204%
Blue Cross Blue Shield $281 - $312 263%
Chs Group Health Plan $407 381%
Self Pay $427 - $610 400%
Cigna $574 537%
Trimed Billing Solutions $610 571%
Benefit Management Services $1,323 1239%
Coventry First Health $1,526 1429%
Ms Dept Of Rehabilitation Services $2,035 1905%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals