CMS Price Transparency Data

X-ray, lower back

Facility: Carilion Tazewell Community Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $704
Cash Discount Price: $484
vs. Medicare Baseline: 6.59x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Carilion Tazewell Community Hospital is $704. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $484. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.59x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$484

Average discount available for prompt cash payment at this facility.

Insurance Median

$704

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: $484 (453%)

Insurance Median: $704 (659%)

Cash: $484 (453% of Medicare)

Ins. Median: $704 (659% 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 659% of the Medicare baseline (a markup of 559%). 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
Corvel	$42	39%
Blue Cross Blue Shield	$47 - $552	44%
Sentara Health Plan	$47 - $857	44%
Abh Of Va (Formerly Coventry)	$49	46%
Abh Of Wva (Formerly Coventry)	$49	46%
Humana	$49 - $100	46%
UnitedHealthcare	$49 - $1,130	46%
Aetna	$92 - $918	86%
Allcare	$98	92%
Gateway - Tier 3	$761	712%
Vhn - Ultra	$857	802%
Cigna	$878 - $936	822%
Connecticare	$968	906%
Vhn - Plus	$1,065	997%
Gateway - Tier 2	$1,106	1035%
Vhn	$1,106	1035%
Integrated Health Plan	$1,176	1101%
Vhn - Link	$1,245	1166%
Gateway - Tier 1	$1,314	1230%
Vhn - Secondary Payors	$1,314	1230%
National Provider Network	$1,328	1243%

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 $484.
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 Carilion Tazewell Community Hospital 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.