CMS Price Transparency Data

X-ray, lower back

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $210
  • Cash Discount Price: $927
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at CHI St Lukes Lakeside Hospital is $210. 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 1.97x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.
Cash / Self-Pay
$927

Average discount available for prompt cash payment at this facility.

Insurance Median
$210

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: $210 (197%)
Cash: $927 (868% of Medicare)
Ins. Median: $210 (197% 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
Wellpoint $51 - $160 48%
United $52 - $1,245 49%
UnitedHealthcare $53 - $2,188 50%
Blue Cross Blue Shield $55 - $378 51%
Chc $59 - $1,456 55%
Renaissance $77 72%
Cigna $107 - $1,854 100%
Humana $107 - $1,721 100%
Kelsey $107 100%
Selectcare $107 100%
Aetna $109 - $1,801 102%
Amerivantage $110 103%
Devoted $114 107%
Scanhealth $114 107%
Kindred $117 110%
Kelseycare $144 135%
Ambetter / Centene $160 150%
Community Health Choice $160 150%
Harris Health $160 150%
Bright Health $182 170%
Tchp $212 - $284 198%
Nx Health $346 324%
Tchpchip $927 - $1,165 868%
Texastruechoice $1,456 1363%
Coventry $1,721 1611%
First Health $1,721 1611%
Healthsmart $1,854 1736%
Interlink $1,854 1736%
Multiplan $1,986 1859%
USA Health Network $2,251 2107%
Mhealth Network $2,648 2479%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17400 St Lukes Way, The Woodlands, TX 77384
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals