CMS Price Transparency Data

X-ray, lower back

Facility: HCA Houston Healthcare Pearland

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $250
Cash Discount Price: $3,520
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Houston Healthcare Pearland is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,520. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.34x the Medicare baseline. Located in 11100 Shadow Creek Parkway, Pearland, TX.

Cash / Self-Pay

$3,520

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

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: $3,520 (3296%)

Insurance Median: $250 (234%)

Cash: $3,520 (3296% of Medicare)

Ins. Median: $250 (234% 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 234% of the Medicare baseline (a markup of 134%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Community Health Choice Mcd	$51	48%
Texas Childrens Health Plans	$52 - $584	49%
United	$52 - $1,584	49%
Aetna	$56 - $415	52%
Molina Healthcare	$57	53%
Humana	$65 - $577	61%
Cigna	$142 - $182	133%
Blue Cross Blue Shield	$197 - $1,232	184%
Superior Health Plan	$211	198%
Healthcare Highways	$898	841%
Evry Health	$961	900%
Christus (Usfhp)	$1,408	1318%
Curative Administrators	$1,408	1318%
Coventry National First Health	$1,876	1756%

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 $3,520.
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 HCA Houston Healthcare Pearland 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.