CMS Price Transparency Data

X-ray, lower back

Facility: Lewisgale Hospital Pulaski

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,653
Cash Discount Price: $2,755
vs. Medicare Baseline: 15.48x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Lewisgale Hospital Pulaski is $1,653. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,755. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.48x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$2,755

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,653

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: $2,755 (2579%)

Insurance Median: $1,653 (1548%)

Cash: $2,755 (2579% of Medicare)

Ins. Median: $1,653 (1548% 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 1548% of the Medicare baseline (a markup of 1448%). 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
Blue Cross Blue Shield	$44 - $214	41%
United	$245 - $1,240	229%
Lifeworks	$523	490%
Universal Healthcare Group	$606	567%
Virginia Health Network	$964 - $1,956	903%
Aetna	$1,240	1161%
Greenvbrier Sporting Club	$1,653	1548%
Corvel	$1,984	1858%
Richfield Nursing Center	$2,066	1934%
Richfield Retirement Community	$2,066	1934%
Multiplan	$2,121	1986%
Community Care Network	$2,204	2063%
Graham-White Manufacturing	$2,204	2063%
Occunet Workers Comp	$2,204	2063%
One Health Plan	$2,204	2063%
Patients Choice	$2,424	2269%
4Most	$2,480	2322%
American Postal Workers Union	$2,480	2322%
Phcs	$2,480	2322%
Star Transportation	$2,480	2322%

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 $2,755.
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 Lewisgale Hospital Pulaski 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.