CMS Price Transparency Data

X-ray, lower back

Facility: Tristar Summit Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $192
Cash Discount Price: $2,475
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Tristar Summit Medical Center is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,475. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.80x the Medicare baseline. Located in 5655 Frist Blvd, Hermitage, TN.

Cash / Self-Pay

$2,475

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $2,475 (2317%)

Insurance Median: $192 (180%)

Cash: $2,475 (2317% of Medicare)

Ins. Median: $192 (180% 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
Blue Cross Blue Shield	$30 - $69	28%
Humana	$49 - $1,609	46%
Aetna	$68 - $1,238	64%
Cigna	$125 - $1,980	117%
United	$155 - $1,114	145%
Kentucky Labor Cabinet	$456	427%
Apex Health	$470	440%
Nhc Advantage, Inc.	$470	440%
Pruitt Health (Allyalign)	$470	440%
Centurion	$1,020	955%
Bgfh Singlesource	$1,238 - $2,104	1159%
Multiplan	$1,609	1506%
Employers Health Network	$1,733	1623%
Odom'S Tn Pride Sausage	$1,856	1738%
Compsych	$1,980	1854%
Beech Street	$2,178	2039%
Prime Health	$2,178	2039%

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 $2,475.
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 Tristar Summit Medical Center 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.