CMS Price Transparency Data

X-ray, lower back

Facility: De Tar Hospital Navarro

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $106
  • Cash Discount Price: $965
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at De Tar Hospital Navarro is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $965. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$965

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $965 (903%)
Insurance Median: $106 (99%)
Cash: $965 (903% of Medicare)
Ins. Median: $106 (99% 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
Medicaid / KanCare $52 - $171 49%
Scott & White $52 49%
UnitedHealthcare $52 - $1,078 49%
Blue Cross Blue Shield $53 - $791 50%
Superior $55 - $213 51%
Tricare $90 - $105 84%
Humana $93 - $103 87%
Medicare (plans) $93 - $103 87%
Department Of Veterans Affairs $95 - $105 89%
Node Hospice Non Par Agree $95 - $105 89%
Node Triwest $95 - $105 89%
Node Va $95 - $105 89%
Aetna $96 - $2,156 90%
American Health Mcr Adv $97 - $107 91%
Provider Partners Health Plan $97 - $108 91%
Node Amerigroup Mcr Adv $98 - $109 92%
Node Procare Mcr Adv $98 - $109 92%
Veterans Eval Services $101 95%
Industrial Rehab $109 - $121 102%
Node Us Dept Of Labor $118 - $131 110%
Amerigroup $123 115%
Node Brookshire Brothers $165 - $184 154%
Node Brookshire Brothers Work Comp Tx $176 - $195 165%
Work Comp $189 - $210 177%
Elap $208 - $231 195%
Dars $870 815%
Tx Workforce Commission $870 815%
Cigna $900 - $1,627 843%
Healthsmart $2,081 - $2,648 1948%
Multiplan $2,459 - $3,026 2302%
First Health $2,572 2408%
Medcorp Southwest Inc $2,648 2479%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals