CMS Price Transparency Data

X-ray, lower back

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $691
Cash Discount Price: $863
vs. Medicare Baseline: 6.47x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Sharp Coronado Hospital and Hlthcr Ctr is $691. 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 6.47x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$863

Average discount available for prompt cash payment at this facility.

Insurance Median

$691

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: $691 (647%)

Cash: $863 (808% of Medicare)

Ins. Median: $691 (647% 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 647% of the Medicare baseline (a markup of 547%). 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	$65 - $863	61%
Managed Health Network	$173	162%
Molina	$201 - $863	188%
Aetna	$342 - $921	320%
Multiplan	$342	320%
Community Health Group	$351 - $921	329%
Blue Cross Blue Shield	$391 - $702	366%
Blue Shield	$391 - $921	366%
Epic Americas	$391	366%
Cigna	$483 - $886	452%
Interplan	$650 - $863	609%
Humana	$771	722%
UnitedHealthcare	$771 - $777	722%
Allianz Global Assistance	$806 - $863	755%
Indian Health Council	$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 Coronado Hospital and Hlthcr Ctr 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.