CMS Price Transparency Data

X-ray, lower back

Facility: Grossmont Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $670
Cash Discount Price: $863
vs. Medicare Baseline: 6.27x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Grossmont Hospital is $670. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $863. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.27x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$863

Average discount available for prompt cash payment at this facility.

Insurance Median

$670

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: $863 (808%)

Insurance Median: $670 (627%)

Cash: $863 (808% of Medicare)

Ins. Median: $670 (627% 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 627% of the Medicare baseline (a markup of 527%). 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
San Diego Pace	$22 - $73	21%
California Health And Wellness	$41	38%
Blue Shield	$322 - $551	301%
Multiplan	$345	323%
Cigna	$448 - $565	419%
UnitedHealthcare	$460 - $863	431%
Allianz Global Assistance	$576 - $633	539%
Aetna	$633 - $921	593%
Blue Cross Blue Shield	$633 - $1,036	593%
Epic Americas	$633	593%
Health Net	$633 - $806	593%
Managed Health Network	$650	609%
Community Health Group	$691 - $725	647%
Molina	$719 - $1,128	673%
Kaiser	$783	733%
County Medical Services	$863	808%

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 $863.
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 Grossmont Hospital 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.