CMS Price Transparency Data

X-ray, lower back

Facility: Highpoint Health-Sumner With Ascension Saint Thoma

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$122
about 1.1× the $107 Medicare rate · typically $60–$197
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
Below the fair price — a good deal
about $53 under the fair price · 0.6× Medicare
Medicare pays $107 Fair price $122 This hospital $69 Cash price $439 Hospital's list price $1,898

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

On the higher side — 6 of 8 other TN hospitals charge less.

Cheapest $38 Priciest $75

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, lower back is about $122 (about 1.1× the $107 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $69, or about $439 in cash — below the fair price — a good deal. Located in Gallatin, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $245 229%
Blue Cross Blue Shieldmajor $64 - $70 60%
Cignamajor $69 65%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 555 Hartsville Pike, Gallatin, TN 37066
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals