CMS Price Transparency Data
X-ray, lower back
Facility: Adventist Health White Memorial
Billing Code: 72110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72110
- Insurance Median: $574
- Cash Discount Price: $381
- vs. Medicare Baseline: 5.37x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Adventist Health White Memorial is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $381. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.37x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$381
Average discount available for prompt cash payment at this facility.
Insurance Median
$574
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: $381 (357%)
Insurance Median: $574 (537%)
Cash: $381 (357% of Medicare)
Ins. Median: $574 (537% 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 537% of the Medicare baseline (a markup of 437%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bc Medi-Cal | $31 | 29% |
| Access Medi-Cal | $63 | 59% |
| Ahp Medi-Cal | $63 | 59% |
| Alta Los Angeles Mcal 1/1/19 | $63 | 59% |
| Avanti Mcal | $63 | 59% |
| Bella Vista Medi-Cal Op/Profee Only | $63 | 59% |
| Healthcare Inc Medi-Cal | $63 | 59% |
| Lasalle Mg Medi-Cal | $63 | 59% |
| Medi-Cal | $63 | 59% |
| Molina Medi-Cal | $63 | 59% |
| Pacific Alliance Medi-Cal | $63 | 59% |
| Pacific Ipa Medi-Cal | $63 | 59% |
| Preferred Ipa La Care Mcal Cap | $63 | 59% |
| Preferred Medi-Cal | $63 | 59% |
| Altamed Medi-Cal - All Other Plans | $72 | 67% |
| Fcs Ipa Medi-Cal Op/Profee Only | $75 | 70% |
| Healthnet Mcal | $75 | 70% |
| Preferred Healthy | $79 | 74% |
| Blue Shield Mcr Adv | $85 | 80% |
| Assoc Hispanic Physcns Mcal | $88 | 82% |
| Access Group | $114 | 107% |
| Ahp - All Other Plans | $114 | 107% |
| Lasalle Mg Commercial - All Other Plans | $114 | 107% |
| Access Senior - All Other Plans | $134 | 125% |
| Ahp Senior | $134 | 125% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $134 | 125% |
| Altamed Connect | $134 | 125% |
| Avanti Mcr Adv - All Other Plans | $134 | 125% |
| Brand New Day Mcare - All Plans | $134 | 125% |
| Bs Va Mcare | $134 | 125% |
| Care First Mcare - All Other Plans | $134 | 125% |
| Clever Care - All Plans | $134 | 125% |
| Fcs Ipa Mcr Advan Op/Profee Only | $134 | 125% |
| Humana | $134 | 125% |
| Lasalle Mg Senior | $134 | 125% |
| Medicare (plans) | $134 | 125% |
| Molina Mcare | $134 | 125% |
| Pacific Alliance Mcare - All Other Plans | $134 | 125% |
| Preferred Senior | $134 | 125% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $134 | 125% |
| Tricare | $134 | 125% |
| UnitedHealthcare | $134 - $1,206 | 125% |
| Blue Cross Blue Shield | $140 - $292 | 131% |
| Fcs Ipa Op/Profee Only - All Other Plans | $141 | 132% |
| Bright Health - All Plans | $155 | 145% |
| Blue Shield Medi-Cal | $157 | 147% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $161 | 151% |
| Preferred Commercial - All Other Plans | $161 | 151% |
| Intergrated Medical - All Plans | $175 | 164% |
| Molina Benefit Exchange - All Other Plans | $182 | 170% |
| Aetna | $183 | 171% |
| Php-Prospect Health Plan Cap - All Plans | $202 | 189% |
| Care First Medi-Cal | $220 | 206% |
| Ah Employee Health Plan - All Plans | $242 | 227% |
| Centivo - All Plans | $303 | 284% |
| Blue Shield Epn | $435 - $574 | 407% |
| Blue Shield - All Other Plans | $506 - $668 | 474% |
| Pacific Ipa - All Other Plans | $694 - $917 | 650% |
| Cigna | $696 | 652% |
| Kaiser- All Plans | $749 - $989 | 701% |
| Western Growers/Pinnacle - All Plans | $749 - $989 | 701% |
| Healthnet - All Other Plans | $826 - $1,091 | 773% |
| Healthnet Comm Care | $852 - $1,125 | 798% |
| Caremore Mcare - All Plans | $913 - $1,206 | 855% |
| Hcpamg - All Plans | $915 - $1,208 | 857% |
| Healthcare Inc - All Other Plans | $1,004 - $1,327 | 940% |
| La Care Mcr Adv - All Plans | $1,004 - $1,327 | 940% |
| First Heatlh Ppo - All Plans | $1,059 - $1,399 | 991% |
| Phcs Ppo - All Plans | $1,187 - $1,568 | 1111% |
| Scan Health Mcare - All Plans | $1,187 - $1,568 | 1111% |
| Ahf - All Plans | $1,370 - $1,809 | 1283% |
| Beech Street - All Plans | $1,370 - $1,809 | 1283% |
| Interplan Ppo - All Plans | $1,370 - $1,809 | 1283% |
| Corvel Corp - All Plans | $1,461 - $1,930 | 1368% |
| Multiplan Ppo - All Plans | $1,516 - $2,002 | 1419% |
| Healthmannet - All Plans | $1,552 - $2,050 | 1453% |
| Next Inc Ppo - All Plans | $1,552 - $2,050 | 1453% |
| Trpn - All Plans | $1,552 - $2,050 | 1453% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,600 | 1498% |
| Fpn Ppo - All Plans | $1,643 - $2,171 | 1538% |
| Healthnet Mcr Adv | $2,794 - $3,690 | 2616% |