CMS Price Transparency Data

X-ray, lower back

Facility: Caromont Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $199
Cash Discount Price: $742
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Caromont Regional Medical Center is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $742. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.86x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.

Cash / Self-Pay

$742

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $742 (695%)

Insurance Median: $199 (186%)

Cash: $742 (695% of Medicare)

Ins. Median: $199 (186% 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
Blue Cross Blue Shield	$107 - $245	100%
UnitedHealthcare	$107 - $179	100%
Aetna	$111 - $240	104%
Carolina Complete Health	$112	105%
Devoted Health	$112	105%
Healthteam	$112	105%
Longevity Health	$112	105%
Molina	$112 - $208	105%
Partners Behavioral Health	$112	105%
Alliance Behavioral Health	$114	107%
Amerihealth Caritas	$114	107%
Carolina Complete Health Tailored Plans	$114	107%
Humana	$114 - $653	107%
Vaya Behavioral Health	$114	107%
Wellcare	$114	107%
Surgery Plus	$187	175%
Cigna	$189 - $199	177%
Absolute Total Care	$208	195%
Gaston County Jail	$223	209%
Carolina Caring	$267 - $588	250%
Corporate Benefits Service	$287	269%
Medcost	$505	473%
Self Pay	$556	521%
Beech Street	$608	569%
Multiplan	$608	569%
First Health Network	$705	660%

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 $742.
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 Caromont Regional Medical Center 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.