CMS Price Transparency Data

X-ray, lower back

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $95
  • Cash Discount Price: $250
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Tennova Healthcare-Jefferson Memorial Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $250. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.89x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$250

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $250 (234%)
Insurance Median: $95 (89%)
Cash: $250 (234% of Medicare)
Ins. Median: $95 (89% 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
Bluecare $26 - $28 24%
Medicaid / KanCare $42 39%
UnitedHealthcare $42 - $1,130 39%
Blue Cross Blue Shield $61 - $229 57%
Amerigroup $78 - $84 73%
Tricare $81 - $90 76%
Humana $84 - $93 79%
Medicare (plans) $84 - $93 79%
Node Bluecare Plus Tn Mcr Adv $85 - $95 80%
Node Champva $85 - $95 80%
Node Hospice Non Par Agree $85 - $95 80%
Node Va $85 - $95 80%
Node Devoted Health Mcr Adv $86 - $95 81%
Node Farm Bureau Mcr Adv $86 - $95 81%
Aetna $87 - $725 81%
Node Healthspring Mcr Adv $87 - $96 81%
Node Amerigroup Mcr Adv $88 - $98 82%
Node Wellcare Mcr Adv $89 - $99 83%
Node Nhc Mcr Adv $92 - $103 86%
Veterans Eval Services $95 89%
Node Us Dept Of Labor $107 - $119 100%
Three Rivers Work Comp Tn $115 - $128 108%
Cigna $123 - $137 115%
Novanet Work Comp Tn $142 - $158 133%
Occunet Work Comp Tn $144 - $160 135%
Tn Work Comp $144 - $160 135%
Ambetter / Centene $158 - $175 148%
Point Comfort Underwriters $185 - $205 173%
Self Pay $250 234%
Multiplan Complementary $892 835%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals