CMS Price Transparency Data

X-ray, lower back

Facility: Adventist Health Reedley

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $50
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Adventist Health Reedley is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.47x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $122 (114%)
Insurance Median: $50 (47%)
Cash: $122 (114% of Medicare)
Ins. Median: $50 (47% 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.

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
Healthnet Medi-Cal $8 - $185 7%
Blue Shield Mcare $13 - $134 12%
Fhcn Pace Mcr Adv-All Plans $13 - $134 12%
Lasalle Med Assoc Profee Only - All Plans $13 12%
Tricare $13 - $134 12%
UnitedHealthcare $13 - $519 12%
Upn Mcr Adv Profee Only $13 12%
Ah Employee Health Plan - All Plans $14 - $242 13%
Community Care Ipa Mcal-All Plans $15 - $82 14%
Kaiser - All Other Plans $17 - $617 16%
Kaiser Mcr Adv $17 - $134 16%
Cigna $18 - $802 17%
Healthnet- All Other Plans $19 - $537 18%
Western Growers/Pinnacle- All Plans $19 - $568 18%
Blue Shield Epn - All Other Plans $21 - $545 20%
Blue Shield Non Epn $22 - $632 21%
Blue Cross Blue Shield $27 - $335 25%
Bc Mcal $32 - $44 30%
Aetna $37 - $222 35%
Physicians Med Group Op/Profee Only- All Plans $40 - $987 37%
Cal Viva Hlth Mcal - All Plans $44 - $63 41%
Central Ca Alliance Mcal Profee Only $44 41%
Dignity Mcal Op/Profee Only-All Other Plans $44 - $69 41%
Medi-Cal $44 - $63 41%
Upn Mcal Profee Only-All Other Plans $44 41%
Central Ca Alliance Ccs Profee Only $50 47%
Central Ca Alliance Chdp Profee Only $50 47%
Central Ca Alliance Comm Profee Only - All Other P $50 47%
Kern Health Systems Mcal-All Plans $50 - $63 47%
Dignity Mcr Adv Op/Profee Only $134 125%
Healthnet- Mcr Adv $134 125%
Phs Prime Health Srvcs $134 125%
Bright Health Mcr Adv - All Plans $211 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals