CMS Price Transparency Data

X-ray, lower back

Facility: Rio Grande Regional Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $885
Cash Discount Price: $2,346
vs. Medicare Baseline: 8.29x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Rio Grande Regional Hospital is $885. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,346. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.29x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.

Cash / Self-Pay

$2,346

Average discount available for prompt cash payment at this facility.

Insurance Median

$885

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: $2,346 (2196%)

Insurance Median: $885 (829%)

Cash: $2,346 (2196% of Medicare)

Ins. Median: $885 (829% 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 829% of the Medicare baseline (a markup of 729%). 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
Texas Health Network	$52	49%
United	$52 - $1,116	49%
Driscoll Children'S Health Plan	$54	51%
Aetna	$56	52%
Molina Healthcare	$57	53%
Humana	$146	137%
Superior Health Plan	$155 - $174	145%
Blue Cross Blue Shield	$253 - $1,116	237%
Texas Workforce Commission	$531 - $595	497%
Healthcare Highways	$564 - $632	528%
Cigna	$626 - $838	586%
Averde Health	$730 - $818	683%
Allegian Health	$885 - $992	829%
Curative Administrators	$885 - $992	829%
Healthsmart Preferred Care	$951 - $2,107	890%
First Health	$1,272 - $1,425	1191%
National Healthcare Solutions	$1,327 - $1,487	1242%
Southwest Medical	$1,327 - $1,487	1242%
Coastal Comp	$1,438 - $1,611	1346%
Usa Managed Care	$1,438 - $1,983	1346%
Ppo Next/ Medical Control	$1,659 - $1,859	1553%
Beech Street	$1,770 - $1,983	1657%
Multiplan	$1,770 - $1,983	1657%

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 $2,346.
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 Rio Grande Regional 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.