CMS Price Transparency Data

X-ray, lower back

Facility: Cook Childrens Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $191
Cash Discount Price: $443
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Cook Childrens Medical Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $443. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.79x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$443

Average discount available for prompt cash payment at this facility.

Insurance Median

$191

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: $443 (415%)

Insurance Median: $191 (179%)

Cash: $443 (415% of Medicare)

Ins. Median: $191 (179% 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
Beacon	$35 - $249	33%
Firstcare	$35 - $830	33%
Health Plan W/O Uhrip	$35 - $249	33%
Rightcare	$48 - $347	45%
Molina	$54 - $384	51%
Health Plan W. Uhrip	$55 - $394	51%
El Paso Health First	$64 - $457	60%
Tx Children Health	$64 - $457	60%
Aetna	$72 - $519	67%
UnitedHealthcare	$84 - $882	79%
Blue Cross Blue Shield	$110 - $872	103%
S&W Health	$122 - $872	114%
Cigna	$123 - $882	115%
Healthscope	$123 - $882	115%
Imagine Health	$123 - $882	115%
Humana	$126 - $913	118%
Multiplan	$126 - $903	118%
First Health	$127 - $913	119%
Galaxy Health	$130 - $934	122%
Usamco	$133 - $955	125%

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 $443.
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 Cook Childrens 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.