CMS Price Transparency Data

X-ray, lower back

Facility: Johnson County Community Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $89
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Johnson County Community Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.83x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $68 (64%)
Insurance Median: $89 (83%)
Cash: $68 (64% of Medicare)
Ins. Median: $89 (83% 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 $30 - $222 28%
UnitedHealthcare $68 - $295 64%
Cigna $74 - $99 69%
Optima Health $77 72%
Aetna $80 - $188 75%
Molina Healthcare $80 - $89 75%
Amerigroup $86 - $163 81%
Managed Medicaire $86 81%
Medicare (plans) $86 81%
Sentara Health $86 - $100 81%
United Mine Workers Of America $86 81%
Wellcare $86 81%
Humana $87 81%
Devoted Health Plan $90 84%
Nhc Advantage $90 84%
Ambetter / Centene $94 88%
Medcost $103 96%
First Health Coventry $221 207%
Seven Corners, Inc. $295 276%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals