CMS Price Transparency Data

X-ray, lower back

Facility: Memorial Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $176
  • Cash Discount Price: $242
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Memorial Medical Center is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.65x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$242

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $242 (227%)
Insurance Median: $176 (165%)
Cash: $242 (227% of Medicare)
Ins. Median: $176 (165% 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 Mcr Adv-All Other Plans $12 - $180 11%
Care Improvement Plus - All Other Plans $12 - $180 11%
Care Improvement Plus Mcr $12 - $182 11%
Superior Allwell Mcr Adv-All Other Plans $12 - $180 11%
Triwest Va Pccc-All Plans $12 - $176 11%
UnitedHealthcare $12 - $514 11%
Universal American Mcr-All Other Plans $12 - $180 11%
Universal American Snp $13 - $189 12%
Ambetter / Centene $15 - $216 14%
Coventry First Hlth Hmo Ppo-All Other Plans $16 - $514 15%
Coventry First Hlth Mcr Adv $16 - $180 15%
Galaxy Health Network-All Plans $18 - $547 17%
Capstar Health Network-All Plans $22 - $514 21%
Cigna $22 - $482 21%
Healthcare Highways-All Plans $31 - $514 29%
Prime Healthcare Services-All Plans $33 - $450 31%
Blue Cross Blue Shield $35 - $247 33%
Humana $38 - $514 36%
Corvel Work Comp-All Plans $40 - $547 37%
Independent Med Sys Ppo-All Plans $40 - $547 37%
Multiplan Mcr Adv $40 - $180 37%
Multiplan Phcs Ppo-All Other Plans $40 - $547 37%
Provider Select Ppo-All Plans $40 - $547 37%
Three Rivers Ppo-All Plans $40 - $547 37%
Usa Mso - All Plans $40 - $547 37%
Amerigroup Chip $47 - $309 44%
Amerigroup Star $47 - $309 44%
Amerigroup Star Kids $47 - $309 44%
Amerigroup Star Plus $47 - $309 44%
Comm Health Chip $47 - $309 44%
Comm Health Perinatal-All Other Plans $47 - $309 44%
Molina Chip/Star-All Plans $47 - $309 44%
Scott & White Chip/Star-All Plans $47 - $309 44%
Superior Chip/Star $47 - $309 44%
Texas Childrens Hp - All Plans $47 - $309 44%
Comm Health Mcaid Hmo $49 - $324 46%
Comm Health Star $49 - $324 46%
Aetna $514 481%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals