CMS Price Transparency Data

X-ray, lower back

Facility: North Carolina Baptist Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $206
  • Cash Discount Price: $314
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at North Carolina Baptist Hospital is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.93x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$314

Average discount available for prompt cash payment at this facility.

Insurance Median
$206

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: $314 (294%)
Insurance Median: $206 (193%)
Cash: $314 (294% of Medicare)
Ins. Median: $206 (193% 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.

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 $103 - $547 96%
Apex $103 96%
Blue Cross Blue Shield $103 - $218 96%
Cigna $103 - $386 96%
Devoted $103 96%
Healthteam $103 96%
UnitedHealthcare $103 - $222 96%
Wellcare $103 - $147 96%
Humana $104 - $352 97%
Medicare (plans) $104 97%
Liberty $118 110%
Medcost $121 - $428 113%
Amerihealth $138 - $174 129%
Carolina Complete $138 - $146 129%
Health Blue $138 - $146 129%
Partners $138 - $146 129%
Vaya $139 - $147 130%
Alliance $141 - $148 132%
Trillium $142 - $150 133%
Ambetter / Centene $165 - $174 154%
Oscar $183 - $232 171%
Directnet $361 - $381 338%
Cone Health $427 - $451 400%
Healthgram $427 - $451 400%
First Carolina Care $488 - $515 457%
Private Healthcare Systems $500 - $528 468%
Multiplan $549 - $580 514%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals