CMS Price Transparency Data

X-ray, lower back

Facility: Prisma Health Baptist

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $199
  • Cash Discount Price: $614
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Prisma Health Baptist is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $614. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.86x the Medicare baseline. Located in 1330 Taylor at Marion St, Columbia, SC.
Cash / Self-Pay
$614

Average discount available for prompt cash payment at this facility.

Insurance Median
$199

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: $614 (575%)
Insurance Median: $199 (186%)
Cash: $614 (575% of Medicare)
Ins. Median: $199 (186% 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 $74 - $146 69%
Humana $79 - $709 74%
Tricare $98 92%
Blue Cross Blue Shield $101 - $464 95%
Cigna $101 - $535 95%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $101 95%
Medicare (plans) $101 - $106 95%
Triwest Healthcare Alliance Vcp [902] $101 95%
Va Community Care Network-Vaccn [903] $101 95%
UnitedHealthcare $104 - $668 97%
Aetna $106 - $747 99%
Healthy Conn Prime-First Choice Vip Care [5300] $106 99%
Healthy Conn Prime-Molina Healthcare [5330] $106 99%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $106 99%
Scdc-Sc Dept Of Corrections [7232] $107 100%
Workers Comp [600] $141 132%
Ambetter / Centene $185 173%
Bob Jones Univ-Pai [821] $212 198%
Prisma Health Seniorcare Pace - Midlands [5400] $219 205%
Prisma Health Seniorcare Pace-Upstate [5200] $219 205%
Bluechoice [810] $272 - $463 255%
Promise Health Plan Contracted [2401] $331 - $567 310%
Orangeburg Senior Helping Center Pace [5401] $378 354%
Planned Administrators [820] $464 434%
Evernorth Behavioral Contracted [2982] $535 501%
Meritain Health Contracted [2200] $605 - $747 566%
Preferred Administrators Contracted [2839] $662 620%
Golden Rule Insurance Company [2991] $668 625%
Oxford Health Plans [2992] $668 625%
Zzumr-Salt Lake City Ut [3169] $668 625%
Medcost [2940] $699 - $784 654%
Atlantic Packaging Contracted [4833] $709 664%
Nippon [2300] $747 699%
Aps Healthcare System [2981] $756 708%
Multiplan/Phcs Contracted [2950] $841 787%
Vsp Vision Care [2986] $850 796%
First Health Contracted [2952] $879 823%
Furman Int/Allen University Student [2951] $879 823%
Quiktrip-First Health [3067] $879 823%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1330 Taylor at Marion St, Columbia, SC 29220
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals