CMS Price Transparency Data

X-ray, lower back

Facility: Comanche County Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $92
Cash Discount Price: $167
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Comanche County Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.86x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.

Cash / Self-Pay

$167

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $167 (156%)

Insurance Median: $92 (86%)

Cash: $167 (156% of Medicare)

Ins. Median: $92 (86% 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
Blue Cross Blue Shield	$11 - $96	10%
Swhp Comm - All Other Plans	$11 - $780	10%
Aetna	$12 - $298	11%
Choicecare Comm - All Other Plans	$12 - $175	11%
Choicecare Mcr Adv	$12 - $175	11%
First Care Hmo - All Other Plans	$12 - $402	11%
First Care Hmo Self Funded	$12 - $402	11%
Humana	$12 - $331	11%
Molina Mcr Adv - All Other Plans	$12 - $175	11%
Pphp Mcr Adv - All Plans	$12 - $175	11%
Superior Epo/Hmo - All Plans	$12 - $175	11%
Swhp Mcr Adv	$12 - $175	11%
Wellmed Mcr Adv - All Plans	$12 - $175	11%
Occunet - All Plans	$16 - $355	15%
Alliance Wc - All Plans	$19 - $263	18%
Cigna	$27 - $307	25%
Molina Mcaid	$42 - $298	39%
Swhp Mcaid	$42 - $298	39%
Mpi - All Plans	$426	399%

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 $167.
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 Comanche County Medical Center 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.