CMS Price Transparency Data

X-ray, lower back

Facility: Northwest Hills Surgical Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $59
Cash Discount Price: $61
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Northwest Hills Surgical Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.55x the Medicare baseline. Located in 6818 Austin Ctr Blvd Suite 100, Austin, TX.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $61 (57%)

Insurance Median: $59 (55%)

Cash: $61 (57% of Medicare)

Ins. Median: $59 (55% 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.

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
Champva	$34 - $47	32%
Ambetter / Centene	$46 - $51	43%
Blue Cross Blue Shield	$46 - $454	43%
Dell Chip/Chip Perinate	$46	43%
Dell Star	$46	43%
UnitedHealthcare	$46	43%
Wellpoint Chip/Chip Perinate	$46 - $51	43%
Wellpoint Star	$46	43%
Wellpoint Star Plus	$46 - $51	43%
Wellpoint Star Kids	$51	48%
Humana	$67	63%
Superior Star	$68	64%
Superior Star Foster	$68	64%
Superior Star Kids	$68	64%
Superior Star Plus	$68	64%
Superior Chip/Chip Perinate	$76	71%
Tricare	$97	91%
Aetna	$201 - $368	188%
Seton Performance Plus	$251	235%
Cigna	$350	328%
Covenant Health	$368	345%

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 $61.
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 Northwest Hills Surgical 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.