CMS Price Transparency Data

X-ray, lower back

Facility: Cumberland Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $109
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Cumberland Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $129 (121%)
Insurance Median: $109 (102%)
Cash: $129 (121% of Medicare)
Ins. Median: $109 (102% 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
Blue Cross Blue Shield $40 - $134 37%
Aetna $52 - $109 49%
UnitedHealthcare $63 - $230 59%
Cigna $78 - $109 73%
Ambetter / Centene $84 79%
Farm Bureau $103 96%
Tricare $104 97%
Wellpoint $106 - $109 99%
Humana $107 100%
Devoted Health $109 102%
Wellcare $109 102%
Ehn $187 175%
Correctional Medical Services $250 234%
Community Services Network $270 253%
Usa Managed Care Organization $291 272%
Novanet $312 292%
Direct Care America $333 312%
Medsave Usa $333 312%
National Provider Network $333 312%
Beech Street $354 331%
Ccn Managed Care $354 331%
Initial Group $366 343%
Galaxy Health Network $374 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals