CMS Price Transparency Data

X-ray, lower back

Facility: St Luke's Patients Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $287
  • Cash Discount Price: $927
  • vs. Medicare Baseline: 2.69x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at St Luke's Patients Medical Center is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $927. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.69x the Medicare baseline. Located in 4600 East Sam Houston Parkway South, Pasadena, TX.
Cash / Self-Pay
$927

Average discount available for prompt cash payment at this facility.

Insurance Median
$287

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: $927 (868%)
Insurance Median: $287 (269%)
Cash: $927 (868% of Medicare)
Ins. Median: $287 (269% 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 269% of the Medicare baseline (a markup of 169%). 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
Chc $50 47%
Tchp $50 47%
Wellpoint $52 - $160 49%
United $53 - $230 50%
Blue Cross Blue Shield $107 - $378 100%
Cigna $107 - $1,854 100%
Humana $107 100%
Kelsey $107 100%
Aetna $109 - $1,801 102%
Amerivantage $110 103%
Devoted $114 107%
Scanhealth $114 107%
Ambetter / Centene $160 150%
Community Health Choice $160 150%
Bright Health $182 170%
Coventry $1,721 1611%
First Health $1,721 1611%
Healthsmart $1,854 1736%
Multiplan $1,986 1859%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4600 East Sam Houston Parkway South, Pasadena, TX 77505
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals