CMS Price Transparency Data

X-ray, lower back

Facility: El Centro Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $618
  • Cash Discount Price: $771
  • vs. Medicare Baseline: 5.79x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at El Centro Regional Medical Center is $618. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $771. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.79x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$771

Average discount available for prompt cash payment at this facility.

Insurance Median
$618

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: $771 (722%)
Insurance Median: $618 (579%)
Cash: $771 (722% of Medicare)
Ins. Median: $618 (579% 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 579% of the Medicare baseline (a markup of 479%). 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
Blue Shield-All Plans $89 83%
Blue Cross Blue Shield $134 - $1,102 125%
Brand New Day Comm - All Other Plans $134 125%
Brand New Day Mcr $134 125%
Healthnet Mcr Adv $134 125%
Molina Mcr Adv $134 125%
Scp Managed Care - All Plans $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $552 125%
Easy Choice Mcr Adv-All Plans $148 139%
Healthnet Hmo $168 157%
Cdcr Correctional-All Plans $174 163%
Aetna $485 454%
Pacificare-All Plans $683 639%
Mulitplan Primary - All Other Plans $749 701%
Cigna $826 773%
Multiplan Comp $882 826%
Trident - All Plans $937 877%
Healthnet Comm-All Other Plans $992 929%
Humana $1,025 960%
Ahccs/Medi-Cal Misc - All Plans $1,102 1032%
Brand New Day Mcal $1,102 1032%
Medi-Cal $1,102 1032%
Molina Exchange - All Other Plans $1,102 1032%
Ambetter / Centene $1,135 1063%
Molina Mcal $1,212 1135%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals