CMS Price Transparency Data

X-ray, lower back

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $77
Cash Discount Price: $190
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Ochsner Stennis Memorial Hospital is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.72x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $190 (178%)

Insurance Median: $77 (72%)

Cash: $190 (178% of Medicare)

Ins. Median: $77 (72% 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
Cor Vel	$27 - $89	25%
Prime Health Services Ppo -Workers Comp	$27 - $87	25%
Humana	$36 - $265	34%
Cigna	$44 - $265	41%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$44 - $268	41%
Medicaid / KanCare	$44 - $86	41%
Medicare (plans)	$44 - $305	41%
UnitedHealthcare	$44 - $225	41%
Select Administrative Services Network	$46 - $309	43%
Shared Health Mississippi	$46 - $278	43%
Prime Health Services Ppo	$51 - $354	48%
Ambetter / Centene	$62 - $268	58%
Aetna	$70 - $287	66%
Primewell Health Services Commercial Exchange Plan	$72 - $296	67%
Primewell Health Services – Commercial	$72 - $296	67%
Blue Cross Blue Shield	$73 - $351	68%
Claritev D/B/A Multiplan/Phcs/American Life Care	$81 - $332	76%
Zelis	$81 - $332	76%

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 $190.
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 Stennis Memorial 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.