CMS Price Transparency Data

X-ray, lower back

Facility: Baylor Scott & White Medical Center - Centennial

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $382
  • Cash Discount Price: $440
  • vs. Medicare Baseline: 3.58x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Baylor Scott & White Medical Center - Centennial is $382. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $440. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.58x the Medicare baseline. Located in 12505 Lebanon Road, Frisco, TX.
Cash / Self-Pay
$440

Average discount available for prompt cash payment at this facility.

Insurance Median
$382

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: $440 (412%)
Insurance Median: $382 (358%)
Cash: $440 (412% of Medicare)
Ins. Median: $382 (358% 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 358% of the Medicare baseline (a markup of 258%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Superior Health Plan $51 - $106 48%
Wellpoint (Fka Amerigroup) $51 - $104 48%
Baylor Scott & White Health Plan $96 - $425 90%
Humana $101 - $513 95%
Triwest $101 95%
Corvel $105 98%
Prime Health Services $105 98%
American Health Plan $106 99%
Blue Cross Blue Shield $106 - $513 99%
Healthspring $106 99%
Molina $106 99%
Procare Advantage $106 99%
UnitedHealthcare $116 - $507 109%
Ambetter / Centene $208 195%
Cigna $361 - $425 338%
Aetna $403 377%
Employers Health Network $403 377%
Quiktrip $403 377%
Imagine Health $420 393%
University Of Mary Hardin-Baylor $425 398%
Curative $476 446%
First Health $513 480%
Healthsmart $513 - $550 480%
Private Health Care System $550 515%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12505 Lebanon Road, Frisco, TX 75035
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals