CMS Price Transparency Data

X-ray, lower back

Facility: Methodist Hospital Atascosa

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $416
Cash Discount Price: $2,556
vs. Medicare Baseline: 3.89x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Methodist Hospital Atascosa is $416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,556. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.89x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$2,556

Average discount available for prompt cash payment at this facility.

Insurance Median

$416

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: $2,556 (2393%)

Insurance Median: $416 (389%)

Cash: $2,556 (2393% of Medicare)

Ins. Median: $416 (389% 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 389% of the Medicare baseline (a markup of 289%). 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
Community First Health Plans	$52 - $718	49%
Molina	$52	49%
United	$52 - $1,197	49%
Aetna	$56 - $1,330	52%
Humana	$65	61%
Superior Health	$123 - $133	115%
Blue Cross Blue Shield	$196 - $785	184%
Cigna	$362 - $478	339%
Imperial Insurance	$466 - $505	436%
Focus Health Solutions	$735 - $798	688%
Healthcare Highways	$755 - $819	707%
Valenz	$858 - $931	803%
Evry Health	$902 - $979	844%
Curative Administrators	$981 - $1,064	918%
Healthsmart Preferred Care	$1,348 - $1,463	1262%
Multiplan	$1,839 - $2,261	1722%
Triwest Health Alliance	$1,839 - $1,995	1722%

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 $2,556.
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 Methodist Hospital Atascosa 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.