CMS Price Transparency Data

X-ray, lower back

Facility: Medical City Plano

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $175
  • Cash Discount Price: $1,812
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Medical City Plano is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,812. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.64x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$1,812

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $1,812 (1696%)
Insurance Median: $175 (164%)
Cash: $1,812 (1696% of Medicare)
Ins. Median: $175 (164% 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
Amerigroup $52 49%
United $52 - $315 49%
Cigna $55 - $254 51%
Aetna $56 - $1,096 52%
Molina $57 - $58 53%
Parkland Community Health Plan $57 53%
Humana $65 - $132 61%
Superior Health Plan $127 119%
Blue Cross Blue Shield $133 - $805 125%
Healthcare Highways $444 - $612 416%
Evry Health $467 437%
Lifecare Hospitals $544 509%
Curative Administrators $725 679%
Prominence Health Plan $725 679%
City Of Mckinney $815 763%
Fidelis Securecare $815 763%
National Choicecare $906 848%
Pc Texas Partners $997 933%
Physicians Coop Of Tx $997 933%
Rockport Health Group $997 933%
Averde Health, Inc $1,051 984%
Texas Healthcare Foundation Wc $1,178 1103%
Coastal Comp Health Networks $1,268 1187%
Mega Life $1,268 1187%
Multiplan Phcs $1,268 1187%
Healthsmart Preferred Care $1,359 1272%
Lewisville Isd/Dls Consulting $1,359 1272%
Usa Managed Care $1,450 1358%
Usc Health Services $1,450 1358%
Galaxy Health Network $1,540 1442%
Independent Medical Systems $1,812 1696%
National Healthcare Solutions $1,812 1696%
Unicare $1,812 1696%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals