X-ray, lower back
Facility: Physicians Care Surgical Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $3,409
- Cash Discount Price: $2,727
- vs. Medicare Baseline: 31.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 3192% of the Medicare baseline (a markup of 3092%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticare | $124 | 116% |
| Blue Cross Blue Shield | $194 - $3,681 | 182% |
| Highmark | $194 | 182% |
| Ag Administrators Inc | $380 | 356% |
| Allied Benefit Systems | $380 | 356% |
| Lucent Health | $380 | 356% |
| Trustmark | $380 | 356% |
| Premier Care Network | $380 | 356% |
| Aetna | $380 - $3,818 | 356% |
| Healthez | $380 | 356% |
| Ag Administrators | $380 | 356% |
| Coventry | $380 | 356% |
| Meritain Health | $380 | 356% |
| Geha | $380 | 356% |
| Allied Benefits Systems | $380 | 356% |
| Continental Benefits | $380 | 356% |
| Marpai Health | $380 | 356% |
| Unified Health Services | $3,409 | 3192% |
| Pcsh Aarp | $3,409 | 3192% |
| Vibra Health Plan | $3,409 | 3192% |
| Shenandoah Life | $3,409 | 3192% |
| Medicare (plans) | $3,409 | 3192% |
| Personal Choice 65 | $3,409 | 3192% |
| Keystone 65 HMO | $3,409 | 3192% |
| Cigna | $3,409 | 3192% |
| Tricare | $3,409 | 3192% |
| Aarp | $3,409 | 3192% |
| Devon Health Services | $3,409 | 3192% |
| Humana | $3,409 | 3192% |
| Gpm Health and Life Insurance Mc Supplement | $3,409 | 3192% |
| UnitedHealthcare | $3,409 - $7,232 | 3192% |
| Ibc Security 65 | $3,409 | 3192% |
| Amerihealth New Jersey HMO | $3,681 | 3446% |
| Horizon of New Jersey | $3,681 | 3446% |
| Carefirst Administrators | $3,681 | 3446% |
| Ibc 2021 | $3,681 | 3446% |
| Keystone Direct POS | $3,681 | 3446% |
| Ibc Local | $3,681 | 3446% |
| Independence Administrators | $3,681 | 3446% |
| Ibc | $3,681 | 3446% |
| Independence Bc | $3,681 | 3446% |
| Amerihealth Administrators | $3,681 | 3446% |
| Keystone Healthplan East | $3,681 | 3446% |
| Empire Plan | $3,681 | 3446% |
| Pcsh Ibc | $3,681 | 3446% |
| Personal Choice | $3,681 | 3446% |
| Regence Blue Shield | $3,681 | 3446% |
| Independence Federal | $3,681 | 3446% |
| Ibc - Local | $3,681 | 3446% |
| Keystone HMO | $3,681 | 3446% |
| Surest | $7,232 | 6771% |
| Golden Rule Op | $7,232 | 6771% |
| Oxford Life Insurance Company | $7,232 | 6771% |
| Allsavers | $7,232 | 6771% |
| Oxford Health Plan | $7,232 | 6771% |