CMS Price Transparency Data

X-ray, lower back

Facility: Pender Memorial Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$106
about 1.0× the $107 Medicare rate · typically $71–$241
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
About the fair price
about $5 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $106 This hospital $101 Cash price $158 Hospital's list price $352

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $42 Priciest $101

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $106 (about 1.0× the $107 Medicare rate). Pender Memorial Hospital charges insurers about $101, or about $158 in cash — about the fair price. Located in Burgaw, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $257 241%
Blue Cross Blue Shieldmajor $46 - $130 43%
Aetnamajor $97 - $299 91%
Cignamajor $98 - $155 92%
Humanamajor $90 - $303 84%
Ambetter (Centene) $133 125%
AmeriHealth $101 95%
CareSource $141 132%
WellCare $101 95%
+ 7 smaller / regional plans $95 - $341
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 507 E Fremont St, Burgaw, NC 28425
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals