CMS Price Transparency Data

X-ray, lower back

Facility: Mat-Su Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $926
  • Cash Discount Price: $473
  • vs. Medicare Baseline: 8.67x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mat-Su Regional Medical Center is $926. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $473. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.67x the Medicare baseline. Located in 2500 South Woodworth Loop, Palmer, AK.
Cash / Self-Pay
$473

Average discount available for prompt cash payment at this facility.

Insurance Median
$926

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: $473 (443%)
Insurance Median: $926 (867%)
Cash: $473 (443% of Medicare)
Ins. Median: $926 (867% 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 867% of the Medicare baseline (a markup of 767%). 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.

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
Veterans Eval Services $115 108%
Medicare (plans) $122 114%
Node Champva $122 114%
Tricare $122 114%
Medicaid / KanCare $124 - $131 116%
Node Non Par Hospice Agree $124 116%
Node Triwest $124 116%
Node Va $124 116%
Node Us Dept Of Labor $155 145%
Self Pay $348 - $609 326%
Aetna $380 356%
Ak Dept Of Corrections $638 - $670 597%
Blue Cross Blue Shield $651 - $743 609%
Hccmca $696 - $731 652%
Multiplan Phcs $882 - $926 826%
Moda Assurance $916 - $962 858%
Cigna $919 - $965 860%
Carlie Trans Grp $986 - $1,035 923%
UnitedHealthcare $986 - $1,035 923%
First Choice Health $1,044 - $1,096 977%
Multiplan Mpi $1,056 - $1,108 989%
Plan Vista Solutions $1,079 - $1,133 1010%
Multiplan Wc $1,102 - $1,157 1032%
One Health $1,102 - $1,157 1032%
First Health Group $1,114 - $1,169 1043%
Medical Control Network Solutions $1,114 - $1,169 1043%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2500 South Woodworth Loop, Palmer, AK 99645
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals