CMS Price Transparency Data

X-ray, lower back

Facility: Southern Hills Hospital and Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $83
Cash Discount Price: $3,548
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Southern Hills Hospital and Medical Center is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,548. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.78x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$3,548

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $3,548 (3322%)

Insurance Median: $83 (78%)

Cash: $3,548 (3322% of Medicare)

Ins. Median: $83 (78% 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.

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	$9 - $156	8%
Sierra Hpn	$16 - $52	15%
Molina Healthcare	$16 - $54	15%
Community Care Health	$16 - $52	15%
Ambetter / Centene	$18 - $774	17%
United	$79 - $803	74%
Aetna	$83	78%
Legacy Provider Network	$122	114%
Corvel	$128 - $136	120%
Olympus Medsave USA	$135 - $2,763	126%
Sierra	$189	177%
Cigna	$247 - $556	231%
Select Health	$796 - $849	745%
Prominence Healthfirst	$1,105	1035%
Cmn Global	$1,547	1448%
Evernorth	$1,842	1725%
Nv Health & Welfare Trust	$2,210	2069%
Multiplan	$2,321 - $2,689	2173%
First Health	$2,431 - $2,947	2276%
Medcare International	$2,763	2587%

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 $3,548.
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 Southern Hills Hospital and Medical Center 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.