CMS Price Transparency Data

X-ray, lower back

Facility: The Outer Banks Hospital, Inc

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $853
Cash Discount Price: $742
vs. Medicare Baseline: 7.99x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at The Outer Banks Hospital, Inc is $853. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $742. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.99x the Medicare baseline. Located in 4800 South Croatan Highway, Nags Head, NC.

Cash / Self-Pay

$742

Average discount available for prompt cash payment at this facility.

Insurance Median

$853

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: $742 (695%)

Insurance Median: $853 (799%)

Cash: $742 (695% of Medicare)

Ins. Median: $853 (799% 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 799% of the Medicare baseline (a markup of 699%). 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	$411 - $812	385%
Carolina Complete Health [1317]	$432	404%
Wellcare [1320]	$434	406%
Amerihealth McAid Adv [1316]	$436	408%
Liberty Advantage [1313]	$488	457%
UnitedHealthcare	$500 - $778	468%
Humana	$504	472%
Aetna	$515 - $1,037	482%
Longevity Health [1411]	$603	565%
Nc Dept of Public Safety [1095]	$835	782%
Medcost [1067]	$853 - $893	799%
Cigna	$1,126 - $1,259	1054%
Multiplan [1031]	$1,259	1179%

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 $742.
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 The Outer Banks Hospital, Inc 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.