CMS Price Transparency Data

X-ray, lower back

Facility: Valley Presbyterian Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $193
Cash Discount Price: $365
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Valley Presbyterian Hospital is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.81x the Medicare baseline. Located in 15107 Vanowen St, Van Nuys, CA.

Cash / Self-Pay

$365

Average discount available for prompt cash payment at this facility.

Insurance Median

$193

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: $365 (342%)

Insurance Median: $193 (181%)

Cash: $365 (342% of Medicare)

Ins. Median: $193 (181% 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.

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
Blue Shield Promise Medi-Cal	$77 - $106	72%
Blue Cross Blue Shield	$82 - $135	77%
Blue Shield Ifp	$130	122%
Blue Shield Senior	$132	124%
Aetna	$135	126%
Health Net Senior	$135	126%
La Care Covered California	$135	126%
Medicare (plans)	$135 - $142	126%
Blue Shield	$155	145%
La Care Medi-Cal	$184 - $254	172%
Phcs	$184 - $254	172%
Ambetter / Centene	$191	179%
UnitedHealthcare	$193 - $329	181%
Heritage Provider Network (Regal & Lakeside)	$209	196%
Coventry Health Care (Ccn)	$215 - $296	201%
Beech Street	$230 - $317	215%
Health Net	$267	250%
Multiplan	$276 - $381	258%
Cigna	$498	466%

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 $365.
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 Valley Presbyterian 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.