CMS Price Transparency Data

X-ray, lower back

Facility: Adventist Health Simi Valley

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $168
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Adventist Health Simi Valley is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.57x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $151 (141%)
Insurance Median: $168 (157%)
Cash: $151 (141% of Medicare)
Ins. Median: $168 (157% 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
Vchcp - All Plans $22 - $735 21%
Hpn Senior Hmo $23 - $766 22%
UnitedHealthcare $23 - $763 22%
Western Growers - All Plans $23 - $772 22%
Blue Shield - All Other Plans $25 - $843 23%
Hpn - All Other Plans $28 - $922 26%
Kaiser - All Plans $28 - $918 26%
Aetna $30 - $1,010 28%
Scan Mcr Adv - All Plans $33 - $1,102 31%
First Health - All Plans $36 - $1,194 34%
Phcs Ppo - All Plans $36 - $1,194 34%
Beech Street Ppo - All Plans $41 - $1,378 38%
Choicecare Ppo - All Plans $41 - $1,378 38%
Health Net - All Plans $41 - $1,385 38%
Corvel Corp - All Plans $44 - $1,470 41%
Interplan Ppo - All Plans $44 - $1,470 41%
Multiplan Ppo - All Plans $46 - $1,525 43%
Ahf - All Plans $47 - $1,561 44%
Hmn Ppo/Epo - All Plans $47 - $1,561 44%
Trpn Ppo - All Plans $47 - $1,561 44%
Ehn - All Plans $50 47%
Fpn Ppo - All Plans $50 - $1,653 47%
Gold Coast Mcal - All Plans $55 - $77 51%
Blue Shield Mcare $134 125%
Facey Medical Mdcare $134 125%
Medicare (plans) $134 125%
Tricare $134 125%
Facey Medical Hmo/Pos - All Other Plans $161 151%
Bc Exchange $212 198%
Bc Non Mcs $236 221%
Ah Employee Health Plan - All Plans $242 227%
Bc Mcs - All Other Plans $283 265%
Centivo - All Plans $303 284%
Cigna $539 505%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals