CMS Price Transparency Data

X-ray, lower back

Facility: Sharp Chula Vista Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $734
Cash Discount Price: $863
vs. Medicare Baseline: 6.87x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Sharp Chula Vista Medical Center is $734. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $863. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.87x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$863

Average discount available for prompt cash payment at this facility.

Insurance Median

$734

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: $863 (808%)

Insurance Median: $734 (687%)

Cash: $863 (808% of Medicare)

Ins. Median: $734 (687% 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 687% of the Medicare baseline (a markup of 587%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Health Net	$173 - $921	162%
Community Health Group	$342	320%
Blue Cross Blue Shield	$391 - $886	366%
Cigna	$391 - $734	366%
UnitedHealthcare	$391 - $863	366%
Indian Health Council	$460	431%
Managed Health Network	$551	516%
Molina	$551 - $806	516%
Interplan	$552	517%
County Medical Services	$576 - $863	539%
Aetna	$626 - $921	586%
Humana	$633	593%
Blue Shield	$650 - $714	609%
Multiplan	$783 - $806	733%
San Diego Pace	$806	755%
Medi-Cal	$863	808%

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 $863.
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 Sharp Chula Vista Medical Center 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.