CMS Price Transparency Data

X-ray, lower back

Facility: Lee County Community Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $89
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Lee County Community Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.83x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $68 (64%)
Insurance Median: $89 (83%)
Cash: $68 (64% of Medicare)
Ins. Median: $89 (83% 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
Blue Cross Blue Shield $53 - $295 50%
Aetna $65 - $295 61%
Ambetter / Centene $65 61%
Amerigroup $65 - $295 61%
Managed Medicaire $65 61%
Medicare (plans) $65 61%
Mountain Empire Pace $65 61%
Sentara Health $65 - $76 61%
United Mine Workers Of America $65 61%
UnitedHealthcare $65 - $295 61%
Humana $66 62%
Cigna $68 - $295 64%
Devoted Health Plan $68 64%
Molina Healthcare $68 - $105 64%
Nhc Advantage $68 64%
Optima Health $101 95%
Seven Corners, Inc. $156 146%
First Health Coventry $295 276%
Medcost $295 276%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals