CMS Price Transparency Data

X-ray, lower back

Facility: Merit Health River Oaks

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $94
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Merit Health River Oaks is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.88x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$186

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: $186 (174%)
Insurance Median: $94 (88%)
Cash: $186 (174% 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
Cigna $7 - $401 7%
Self Pay $7 - $444 7%
UnitedHealthcare $9 - $539 8%
Trimed Billing Solutions $10 - $605 9%
Ms State Hospital Of Whitfield Ms $13 - $766 12%
First Choice Standard $15 - $928 14%
First Choice Coventry $17 - $1,049 16%
First Choice Mpcn Standard $18 - $1,109 17%
First Choice Ppo Plus $18 - $1,109 17%
Phcs $20 - $1,210 19%
Aetna $23 - $1,412 22%
Benefit Administration Services $24 - $1,714 22%
Benefit Management Systems $24 - $1,714 22%
Citizens State Bank Inc $24 - $1,714 22%
First Choice Stratose $27 - $1,614 25%
Prime Health Services $27 - $1,614 25%
American Health Group $29 - $1,714 27%
Beech Street $29 - $1,714 27%
Formost $29 - $1,714 27%
Usa Mco $29 - $1,714 27%
One Health Plan $30 - $1,815 28%
Ms Dept Of Rehabilitation Services $34 - $2,017 32%
Veterans Eval Services $34 - $91 32%
Ms Work Comp $69 65%
Prime Health Wc $69 65%
Medicaid / KanCare $81 - $308 76%
Magnolia Mcd Chip $82 77%
Caresource Truecare $83 78%
Molina Chip $88 82%
Tricare $90 84%
Humana $93 87%
Medicare (plans) $93 87%
Node First Choice Shared Health Of Ms Mcr Adv $93 87%
Node Vantage Health Mcr Adv $93 87%
Node Champva $94 88%
Node Hospice Non Par Agree $94 88%
Node Va $94 88%
Molina $95 89%
Node Devoted Health Mcr Adv $95 89%
Node First Choice American Health Mcr Adv $95 89%
Node First Choice Wellcare Mcr Adv $96 90%
Node Healthy Mississippi Mcr Adv $104 97%
Node Us Dept Of Labor $118 110%
First Choice Preferred $142 133%
Node First Choice Occunet $142 133%
Node First Choice Seven Corners $160 150%
Magnolia Exchange $165 154%
Molina Exchange $171 160%
First Choice Lgp $206 193%
Vantage Health Commercial $212 198%
Advanced Health Systems $242 227%
Blue Cross Blue Shield $355 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals