CMS Price Transparency Data

X-ray, lower back

Facility: Novant Health Presbyterian Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $219
Cash Discount Price: $259
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Novant Health Presbyterian Medical Center is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.05x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$259

Average discount available for prompt cash payment at this facility.

Insurance Median

$219

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: $259 (242%)

Insurance Median: $219 (205%)

Cash: $259 (242% of Medicare)

Ins. Median: $219 (205% 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 205% of the Medicare baseline (a markup of 105%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$46 - $351	43%
Carolina Complete	$77 - $104	72%
Nc Department Of Public Safety	$77 - $203	72%
Amerihealth	$78 - $106	73%
UnitedHealthcare	$78 - $347	73%
Wellcare	$78 - $106	73%
Humana	$102 - $428	95%
Pace Of The Southern Piedmont	$102	95%
Aetna	$104 - $476	97%
Cigna	$105 - $306	98%
Liberty Health	$107	100%
Caresource North Carolina	$146 - $196	137%
Atlantic Corporation Dba Atlantic Packaging	$203 - $274	190%
Amps	$243 - $327	228%
Plotkin Health	$265 - $357	248%
Medcost	$313 - $446	293%
Primary Physician Care	$326 - $440	305%
Multiplan	$331 - $446	310%
Phcs	$331 - $446	310%
Employers Choice Network	$428 - $577	401%
Three Rivers Provider Network	$428 - $577	401%

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 $259.
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 Novant Health Presbyterian 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.