CMS Price Transparency Data

X-ray, lower back

Facility: Vidant Chowan Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $827
Cash Discount Price: $732
vs. Medicare Baseline: 7.74x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Vidant Chowan Hospital is $827. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $732. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.74x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$732

Average discount available for prompt cash payment at this facility.

Insurance Median

$827

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: $732 (685%)

Insurance Median: $827 (774%)

Cash: $732 (685% of Medicare)

Ins. Median: $827 (774% 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 774% of the Medicare baseline (a markup of 674%). 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	$392 - $793	367%
Carolina Complete Health [1317]	$396	371%
Wellcare [1320]	$398	373%
Amerihealth McAid Adv [1316]	$400	374%
Humana	$405	379%
UnitedHealthcare	$440 - $805	412%
Liberty Advantage [1313]	$454	425%
Aetna	$467 - $1,069	437%
Longevity Health [1411]	$561	525%
Nc Dept of Public Safety [1095]	$732	685%
Medcost [1067]	$827 - $872	774%
Cigna	$1,111 - $1,242	1040%
Multiplan [1031]	$1,242	1163%

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 $732.
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 Vidant Chowan Hospital 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.