CMS Price Transparency Data
X-ray, lower back
Facility: Children's Hosp of Los Angeles
Billing Code: 72110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72110
- Insurance Median: $113
- Cash Discount Price: $161
- vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Children's Hosp of Los Angeles is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$161
Average discount available for prompt cash payment at this facility.
Insurance Median
$113
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: $161 (151%)
Insurance Median: $113 (106%)
Cash: $161 (151% of Medicare)
Ins. Median: $113 (106% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Molina | $24 - $150 | 22% |
| Medi-Cal | $24 - $71 | 22% |
| Inland Empire Health Plan | $24 - $147 | 22% |
| Altamed | $44 - $161 | 41% |
| Shriners Hospital | $48 | 45% |
| Medicaid / KanCare | $48 - $161 | 45% |
| Caloptima | $61 - $161 | 57% |
| Medicare (plans) | $61 - $132 | 57% |
| Non-Contract Payors | $64 | 60% |
| Beech Street | $64 | 60% |
| Incentive Health Network | $64 | 60% |
| Health Net | $67 - $201 | 63% |
| Community Family Care IPA | $71 - $161 | 66% |
| Point Comfort Underwriters | $71 | 66% |
| Valley Presbyterian Hospital | $71 - $161 | 66% |
| Emanate Health Medical Center Mmc | $72 | 67% |
| Heritage Provider Network | $74 - $161 | 69% |
| Kaiser | $75 - $92 | 70% |
| Cigna | $75 | 70% |
| Facey Medical Group | $77 - $97 | 72% |
| St. John's Health Clinic | $77 - $97 | 72% |
| Axminster Medical Group | $77 - $97 | 72% |
| La Care | $78 - $161 | 73% |
| Pioneer Prov Ntwk | $81 | 76% |
| Accarent Health | $81 | 76% |
| Sansum Clinic | $81 | 76% |
| Exceptional Care Medical Group | $81 - $161 | 76% |
| Staywell Insurance | $81 | 76% |
| Managed Care Systems | $81 | 76% |
| Citrus Valley Phys Grp | $81 - $105 | 76% |
| Gemcare IPA | $81 | 76% |
| Mercy Care | $81 | 76% |
| Book Md | $84 | 79% |
| Aetna | $84 - $89 | 79% |
| Good Samaritan Medical Group | $85 | 80% |
| Applecare Medical Group | $85 - $161 | 80% |
| Blue Shield | $87 - $161 | 81% |
| National Healthcare Solutions | $89 | 83% |
| Global Care Medical Group | $89 - $161 | 83% |
| Intl - Quality Health Management | $89 - $132 | 83% |
| Choice Medical Group | $89 | 83% |
| Bella Vista Med Grp | $89 - $161 | 83% |
| Providence Health Network | $89 | 83% |
| Intl - Global Medical Management | $89 | 83% |
| Intl - Global Excel Management | $89 - $123 | 83% |
| Culinary Health Fund | $89 - $123 | 83% |
| Community Care | $89 | 83% |
| Choc Health Alliance | $89 | 83% |
| St Francis Medical Center | $89 - $161 | 83% |
| Premier Physicians Ntwk | $89 - $161 | 83% |
| Centinela Valley IPA | $89 - $161 | 83% |
| Health Care La IPA | $89 - $161 | 83% |
| Blue Cross Blue Shield | $94 - $161 | 88% |
| Access Medical Group | $95 | 89% |
| Seoul Medical Group | $95 | 89% |
| Allied Pacific IPA | $97 - $161 | 91% |
| Family Care Specialists | $97 - $161 | 91% |
| Los Angeles Medical Center IPA | $97 - $161 | 91% |
| Preferred IPA - Commercial | $97 | 91% |
| Self-Pay | $97 | 91% |
| UnitedHealthcare | $97 - $161 | 91% |
| Ventura County Health Plan | $97 | 91% |
| Sanus Health | $97 | 91% |
| Emanate Health Medical Center Commercial | $97 | 91% |
| Alhambra Hospital Medical Center | $97 - $161 | 91% |
| Delta Health Systems | $97 | 91% |
| Private Hlthcare System | $97 | 91% |
| Bright Medical Associates | $97 | 91% |
| Sierra Health and Life Insurance Company | $101 | 95% |
| El Proyecto Del Barrio | $104 - $161 | 97% |
| Watts Healthcare Mmc | $104 - $161 | 97% |
| Star Healthcare Network Commercial | $105 | 98% |
| Marian Health Services | $105 | 98% |
| Intl - Concierge Healthcare Services | $105 | 98% |
| Embassy - Saudi Arabia | $105 | 98% |
| Intl - Erv Travel Services | $105 - $113 | 98% |
| Calvo Selectcare | $105 | 98% |
| Lakewood Health Plan | $105 | 98% |
| Intl - Aixin Life Insurance Co | $105 - $132 | 98% |
| Prime Health Services | $105 | 98% |
| Seaside Health Plan | $105 - $161 | 98% |
| Intl - Msh China Enterprise Services | $105 | 98% |
| Cedar Sinai Med Grp | $105 | 98% |
| Serra Community Med Clinic - Commercial | $105 | 98% |
| Redlands Community Hospital | $105 | 98% |
| Plotkin Health | $105 | 98% |
| Axis Services International | $105 | 98% |
| Hollywood Presbyterian Medical Center | $107 - $161 | 100% |
| Serra Community Med Clinic | $108 - $161 | 101% |
| Beaver Medical Group | $113 | 106% |
| Angeles IPA | $113 - $161 | 106% |
| Memorialcare Med Foundation | $113 | 106% |
| Primecare Medical Network | $113 | 106% |
| Multiplan | $113 | 106% |
| Korean American Med Grp | $113 | 106% |
| Serendib Healthways Mmc | $115 - $161 | 108% |
| Hispanic Physician IPA | $121 - $161 | 113% |
| Associated Hispanic Physicians IPA | $121 - $161 | 113% |
| Prospect Medical Group | $121 | 113% |
| Interlink Health Services | $121 | 113% |
| Embassy - Kuwait | $121 | 113% |
| White Memorial Medical Center | $125 - $161 | 117% |
| Care 1St | $125 - $161 | 117% |
| Primary Care and Pediatric IPA | $128 - $161 | 120% |
| Noble Community Medical Associates | $128 - $161 | 120% |
| Adventist Health Physicians | $128 - $242 | 120% |
| Regent Medical Group | $128 - $161 | 120% |
| Avalon IPA | $128 - $161 | 120% |
| Mabuhay Medical Group | $128 - $161 | 120% |
| Karing Physicians Medical Group | $128 - $161 | 120% |
| Self-Pay International | $129 | 121% |
| Embassy - All Others | $129 | 121% |
| Cal Care IPA | $130 - $161 | 122% |
| Champus | $130 | 122% |
| Preferred IPA | $132 - $161 | 124% |
| Beverly Hospital | $132 - $161 | 124% |
| Pacific Alliance Medical Center | $132 - $161 | 124% |
| Gold Coast Health Plan | $132 - $161 | 124% |
| San Judas Med Grp | $133 - $161 | 125% |
| Family Health Alliance Med Grp | $135 - $161 | 126% |
| Accountable Health | $136 - $161 | 127% |
| Souther California Hosp System - Mmc | $137 - $161 | 128% |
| Cencal Health | $137 - $161 | 128% |
| Employee Health Systems Med Grp | $142 - $161 | 133% |
| Crown City Medical Group | $142 - $161 | 133% |
| Imperial Health Holdings Medical Group | $145 - $161 | 136% |
| Healthy New Life Medical Corp | $149 - $161 | 140% |
| Asian Community Medical Group | $149 - $161 | 140% |
| California Pacific Physicians Medical Group | $149 - $161 | 140% |
| Community Care IPA Mmc | $157 - $161 | 147% |
| Dignity Health | $158 - $161 | 148% |
| Southern Atlantic Medical Group Mmc | $161 - $176 | 151% |
| Southland San Gabriel Valley Medical Group | $161 | 151% |
| Kern Family Health Plan | $161 | 151% |
| Superior Choice Medical Group | $161 | 151% |