CMS Price Transparency Data

X-ray, lower back

Facility: Tristar Centennial Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $452
Cash Discount Price: $2,380
vs. Medicare Baseline: 4.23x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Tristar Centennial Medical Center is $452. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,380. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.23x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$2,380

Average discount available for prompt cash payment at this facility.

Insurance Median

$452

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: $2,380 (2228%)

Insurance Median: $452 (423%)

Cash: $2,380 (2228% of Medicare)

Ins. Median: $452 (423% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 423% of the Medicare baseline (a markup of 323%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 - $1,547	46%
Aetna	$68 - $1,190	64%
Cigna	$125 - $1,904	117%
United	$155 - $1,071	145%
Kentucky Labor Cabinet	$438	410%
Apex Health	$452	423%
Nhc Advantage, Inc.	$452	423%
Pruitt Health (Allyalign)	$452	423%
Tennessee Donor Services	$645	604%
Centurion	$981	918%
Emerging Therapy Solutions	$1,166 - $1,595	1092%
Bgfh Singlesource	$1,190 - $2,023	1114%
Value Option	$1,190	1114%
Multiplan	$1,309	1226%
Southern Health Partners	$1,428	1337%
Employers Health Network	$1,666	1560%
Mhnet	$1,785	1671%
Odom'S Tn Pride Sausage	$1,785	1671%
Compsych	$1,904	1783%
Beech Street	$2,095	1961%
Prime Health	$2,095	1961%
UnitedHealthcare	$2,118 - $2,380	1983%

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 $2,380.
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 Centennial 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.