CMS Price Transparency Data

X-ray, lower back

Facility: Holmes County Hospital and Clinics

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $321
Cash Discount Price: $171
vs. Medicare Baseline: 3.01x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Holmes County Hospital and Clinics is $321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.01x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$321

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: $171 (160%)

Insurance Median: $321 (301%)

Cash: $171 (160% of Medicare)

Ins. Median: $321 (301% 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 301% of the Medicare baseline (a markup of 201%). 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
Ms-Can-Molina-Lex	$83	78%
Ms-Can-Magnolia-Lex	$84	79%
Ms-Can-Truecare-Lex	$85	80%
Molina-Chip-Lex	$178	167%
Magnolia-Chip-Lex	$182	170%
Truecare-Chip-Lex	$182	170%
Advhealth-Lex	$242	227%
Cigna	$248	232%
Tricare	$263	246%
Humana	$267	250%
Mpcn-Lex	$278	260%
Medadv_Uhc-Lex	$291	272%
Firstchoice-Lex	$300	281%
United-Lex	$319	299%
Ambetter / Centene	$321	301%
Medadv_Primewell-Lex	$321	301%
Medicare (plans)	$321	301%
Primewell-Lex	$321	301%
United-Options-Lex	$321	301%
Va_Ccn-Lex	$321	301%
Medadv_Uhcdsnp-Lex	$331	310%
Wellcare-Lex	$331	310%
Ppoplus	$334	313%
Devoted_Health-Lex	$337	316%
Firsthealth-Lex	$342	320%
Multiplan-Lex	$342	320%
Blue Cross Blue Shield	$355	332%
Aetna	$364	341%
Phcs-Lex	$385	360%
Molina_Exchange-Lex	$428	401%

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 $171.
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 Holmes County Hospital and Clinics 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.