CMS Price Transparency Data

X-ray, lower back

Facility: Stanly Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $125
  • Cash Discount Price: $430
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Stanly Regional Medical Center is $125. 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 1.17x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$430

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $125 (117%)
Cash: $430 (403% of Medicare)
Ins. Median: $125 (117% 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 $12 - $774 11%
Cigna $12 - $688 11%
Humana $12 - $103 11%
UnitedHealthcare $12 - $583 11%
Alliance $13 - $106 12%
Amerihealth Caritas $13 - $105 12%
Carolina Complete Health $13 - $104 12%
Healthy Blue $13 - $104 12%
Partners $13 - $103 12%
Trillium $13 - $107 12%
Vaya $13 - $105 12%
Wellcare $13 - $104 12%
Blue Cross Blue Shield $38 - $443 36%
Ambetter / Centene $57 - $320 53%
Medcost $85 - $826 80%
Choicecare $108 - $809 101%
Employers Health Network $380 - $497 356%
Physician Reach Out $430 403%
Magellan $516 483%
Gmmi $559 523%
Quik Trip $559 523%
Carolina Behavioral Health $620 - $688 580%
First Health $774 725%
Healthgram $774 725%
Lifesynch Community Choice Care $809 757%
Multiplan $809 757%
Private Health Care Systems $809 757%
Beechstreet $826 773%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals