CMS Price Transparency Data

X-ray, lower back

Facility: Atrium Health Cleveland

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $128
Cash Discount Price: $430
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Atrium Health Cleveland is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $430. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.20x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.

Cash / Self-Pay

$430

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $430 (403%)

Insurance Median: $128 (120%)

Cash: $430 (403% of Medicare)

Ins. Median: $128 (120% 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
Aetna	$12 - $663	11%
Cigna	$12 - $688	11%
Humana	$12 - $102	11%
UnitedHealthcare	$12 - $459	11%
Alliance	$13 - $144	12%
Amerihealth Caritas	$13 - $121	12%
Carolina Complete Health	$13 - $124	12%
Healthy Blue	$13 - $124	12%
Partners	$13 - $120	12%
Trillium	$13 - $127	12%
Vaya	$13 - $125	12%
Wellcare	$13 - $124	12%
Blue Cross Blue Shield	$38 - $352	36%
Medcost	$85 - $570	80%
Choicecare	$108 - $706	101%
Ambetter / Centene	$275 - $312	257%
Employers Health Network	$380	356%
Physician Reach Out	$430	403%
Magellan	$516	483%
Gmmi	$559	523%
Quik Trip	$559	523%
Carolina Behavioral Health	$620 - $688	580%
Healthgram	$688	644%
First Health	$731	684%
Lifesynch Community Choice Care	$731	684%
Private Health Care Systems	$774	725%
Beechstreet	$792	742%
Multiplan	$817	765%

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 $430.
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 Atrium Health Cleveland 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.