CMS Price Transparency Data

X-ray, lower back

Facility: Medical Center Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $217
Cash Discount Price: $487
vs. Medicare Baseline: 2.03x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Medical Center Hospital is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $487. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.03x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$487

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $487 (456%)

Insurance Median: $217 (203%)

Cash: $487 (456% of Medicare)

Ins. Median: $217 (203% 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 203% of the Medicare baseline (a markup of 103%). 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
Corvel Wc	$41 - $50	38%
Ambetter / Centene	$47 - $109	44%
Amerigroup	$47	44%
Blue Cross Blue Shield	$47 - $327	44%
Community Health Choice	$47	44%
First Care Health Plan	$47	44%
Superior Health Plan	$47	44%
UnitedHealthcare	$47 - $761	44%
Medicaid / KanCare	$52 - $55	49%
Superior Chips	$52	49%
Caprock	$97 - $365	91%
Aetna	$100 - $502	94%
Humana	$100	94%
Novitas Solutions	$103	96%
Triwest Va Ccn	$103	96%
Care Improvement Plus	$105	98%
Healthsmart Preferred Care	$106 - $457	99%
Wellcare By Allwell	$109	102%
Group Resources	$126	118%
Workers Comp	$210	197%
Health Select	$217 - $327	203%
Cigna	$241 - $385	226%
90 Degree Benefits	$325 - $365	304%
State Comptroller	$380	356%
Texas Mutual Wc	$502	470%
Geha	$518	485%
Firstcare	$533	499%

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 $487.
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 Medical Center 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.