CMS Price Transparency Data
X-ray, lower back
Facility: Cannon Memorial Hospital
Billing Code: 72110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72110
- Insurance Median: $42
- Cash Discount Price: $50
- vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Cannon Memorial Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.39x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$50
Average discount available for prompt cash payment at this facility.
Insurance Median
$42
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: $50 (47%)
Insurance Median: $42 (39%)
Cash: $50 (47% of Medicare)
Ins. Median: $42 (39% 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 |
|---|---|---|
| Medicaid / KanCare | $9 - $825 | 8% |
| Humana | $10 - $594 | 9% |
| Select Health Of Sc [637] | $10 - $161 | 9% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $12 - $48 | 11% |
| Absolute Total Care Mcr Plans [41] | $12 - $48 | 11% |
| Absolute Total Care [58] | $12 - $169 | 11% |
| Aetna | $12 - $469 | 11% |
| Blue Choice Health Plan [922] | $12 - $630 | 11% |
| Blue Cross Blue Shield | $12 - $784 | 11% |
| Champva [604] | $12 - $48 | 11% |
| Cigna | $12 - $825 | 11% |
| Devoted Health Alt Payer [9401] | $12 - $47 | 11% |
| Devoted Health [94] | $12 - $47 | 11% |
| Employee Benefit Management Services [869] | $12 - $231 | 11% |
| First Choice Vip Careplus Alt Payer [3301] | $12 - $49 | 11% |
| First Choice Vip [33] | $12 - $49 | 11% |
| Medicare (plans) | $12 - $825 | 11% |
| Molina Dual Options Alt Payer [1501] | $12 - $48 | 11% |
| Molina Dual Options [15] | $12 - $48 | 11% |
| Nhc Advantage Alt Payer [6101] | $12 - $49 | 11% |
| Nhc Advantage [61] | $12 - $49 | 11% |
| Tricare | $12 - $48 | 11% |
| UnitedHealthcare | $12 - $825 | 11% |
| Vaccn - Va Community Care Network [16] | $12 - $46 | 11% |
| Veterans Administration [633] | $12 - $46 | 11% |
| Bright Health Alt Payer [1001] | $13 - $51 | 12% |
| Preferred Administrators [19] | $14 - $495 | 13% |
| Geha [302] | $15 - $440 | 14% |
| Golden Rule Ins Co [584] | $15 - $440 | 14% |
| Ambetter / Centene | $17 - $66 | 16% |
| First Choice Next [96] | $17 - $67 | 16% |
| Molina Marketplace [97] | $17 - $67 | 16% |
| Mail Handlers Benefit Plan [327] | $19 - $469 | 18% |
| Rural Carrier Benefit Plan [406] | $19 - $469 | 18% |
| Workers Compensation [622] | $19 - $74 | 18% |
| Bright Health [11] | $20 - $62 | 19% |
| Edison Health Solutions [95] | $20 - $81 | 19% |
| Healthscope [98] | $20 - $81 | 19% |
| Phcs [940] | $21 - $544 | 20% |
| Nalc Health Benefit Plan [291] | $25 - $491 | 23% |
| Planned Administrators [886] | $30 - $585 | 28% |
| Thomas Cooper & Company [315] | $32 - $585 | 30% |
| Medcost [206] | $37 - $742 | 35% |
| Other Hospital Payers [1991] | $122 - $825 | 114% |
| Coventry Health [245] | $516 - $594 | 483% |
| American Continental Ins [778] | $825 | 772% |
| American Republic Life Ins [722] | $825 | 772% |
| Business Office [6000] | $825 | 772% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $825 | 772% |
| First Health [946] | $825 | 772% |
| Guarantee Trust Life Insurance [236] | $825 | 772% |
| Home Health Infusion Payer [6001] | $825 | 772% |
| Manhattan Life Ins Co [932] | $825 | 772% |
| Miscellaneous Commercial [1] | $825 | 772% |
| New Era Life Ins Co [437] | $825 | 772% |
| Non-Contracted [22] | $825 | 772% |
| Physicians Mutual [773] | $825 | 772% |
| Reference Based Pricing/Limited Plan [21] | $825 | 772% |
| State Farm Ins Co [373] | $825 | 772% |
| Sterling Investors Life [244] | $825 | 772% |
| Supermed/Med Mutual Of Ohio [539] | $825 | 772% |
| United American Ins Co [277] | $825 | 772% |