CMS Price Transparency Data

X-ray, lower back

Facility: Santa Clara Valley Medical Center

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$111
about 1.0× the $107 Medicare rate · typically $44–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $65 under the fair price · 0.4× Medicare
Medicare pays $107 Fair price $111 This hospital $46 Cash price $132 Hospital's list price $188

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $46

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $111 (about 1.0× the $107 Medicare rate). Santa Clara Valley Medical Center charges insurers about $46, or about $132 in cash — below the fair price — a good deal. Located in San Jose, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $17 16%
Blue Cross Blue Shieldmajor $96 90%
Aetnamajor $71 - $74 66%
Cignamajor $92 86%
Health Net $14 13%
+ 2 smaller / regional plans $14 - $85
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 751 South Bascom Avenue, San Jose, CA 95128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals