CMS Price Transparency Data

X-ray, lower back

Facility: High Point Regional Health System

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $319
  • Cash Discount Price: $379
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at High Point Regional Health System is $319. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $379. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.99x the Medicare baseline. Located in 601 N Elm St, High Point, NC.
Cash / Self-Pay
$379

Average discount available for prompt cash payment at this facility.

Insurance Median
$319

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: $379 (355%)
Insurance Median: $319 (299%)
Cash: $379 (355% of Medicare)
Ins. Median: $319 (299% 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 299% of the Medicare baseline (a markup of 199%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerihealth $110 - $246 103%
Carolina Complete $110 103%
Healthy Blue $110 103%
Partners $110 103%
UnitedHealthcare $111 - $506 104%
Vaya $111 104%
Wellcare $111 104%
Alliance $112 105%
Trillium $113 106%
Medcost $203 - $486 190%
Aetna $226 - $493 212%
Oscar $227 - $303 213%
Ambetter / Centene $243 228%
Blue Cross Blue Shield $295 - $473 276%
Cigna $416 389%
Directnet $448 419%
Private Healthcare Systems $622 582%
Multiplan $682 639%
Humana $705 - $720 660%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 N Elm St, High Point, NC 27261
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals