CMS Price Transparency Data

X-ray, lower back

Facility: Blount Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $212
Cash Discount Price: $198
vs. Medicare Baseline: 1.98x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Blount Memorial Hospital is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.98x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$198

Average discount available for prompt cash payment at this facility.

Insurance Median

$212

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: $198 (185%)

Insurance Median: $212 (198%)

Cash: $198 (185% of Medicare)

Ins. Median: $212 (198% 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.

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
Medicaid / KanCare	$34 - $98	32%
UnitedHealthcare	$34 - $252	32%
Blue Cross Blue Shield	$98 - $117	92%
Humana	$98	92%
Medicare (plans)	$98 - $102	92%
Tricare	$99	93%
Cigna	$102 - $320	95%
Prisma Health Seniorcare Pace - Midlands [5400]	$148	139%
Prisma Health Seniorcare Pace-Upstate [5200]	$148	139%
Mvp Health Care [3037]	$150	140%
Ambetter / Centene	$154	144%
Bob Jones Univ-Pai [821]	$212	198%
Consociate Health Contracted [4835]	$218	204%
Promise Health Plan Contracted [2401]	$224 - $383	210%
Fairos/Occunet Contracted [4837]	$228	213%
Golden Rule Insurance Company [2991]	$252	236%
Oxford Health Plans [2992]	$252	236%
Orangeburg Senior Helping Center Pace [5401]	$256	240%
Preferred Administrators Contracted [2839]	$447	419%
Medcost [2940]	$473 - $530	443%
Atlantic Packaging Contracted [4833]	$479	448%
Aps Healthcare System [2981]	$511	478%
Multiplan/Phcs Contracted [2950]	$569	533%
Aetna	$575	538%
Meritain Health Contracted [2200]	$575	538%
Nippon [2300]	$575	538%
Vsp Vision Care [2986]	$575	538%
First Health Contracted [2952]	$594	556%
Furman Int/Allen University Student [2951]	$594	556%
Quiktrip-First Health [3067]	$594	556%

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 $198.
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 Blount Memorial Hospital 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.