CMS Price Transparency Data

X-ray, lower back

Facility: Colleton Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $932
Cash Discount Price: $1,638
vs. Medicare Baseline: 8.73x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Colleton Medical Center is $932. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,638. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.73x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$1,638

Average discount available for prompt cash payment at this facility.

Insurance Median

$932

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: $1,638 (1534%)

Insurance Median: $932 (873%)

Cash: $1,638 (1534% of Medicare)

Ins. Median: $932 (873% 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 873% of the Medicare baseline (a markup of 773%). 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 Choice	$59	55%
United	$59 - $939	55%
Select Health	$68	64%
Sc State Employees	$107 - $119	100%
Absolute Total Care	$186 - $318	174%
Blue Choice Health Plan	$249 - $260	233%
Blue Cross Blue Shield	$249 - $1,680	233%
Nhc Advantage	$311 - $336	291%
Pruitt Health	$311 - $336	291%
Employers Health Network	$738 - $796	691%
Value Option	$820 - $884	768%
Vocational Rehab	$885 - $955	829%
Medcost	$924 - $1,291	865%
Aetna	$949 - $1,024	888%
Cigna	$1,059 - $1,142	991%
Humana	$1,065 - $1,591	997%
Mhnet	$1,229 - $1,326	1151%
Evernorth	$1,311 - $1,414	1227%
Multiplan	$1,393 - $1,503	1304%
North American Administrators	$1,393 - $1,503	1304%
Prime Health	$1,393 - $1,503	1304%
First Health	$1,475 - $1,591	1381%
Novanet	$1,475 - $1,591	1381%

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 $1,638.
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 Colleton 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.