CMS Price Transparency Data

X-ray, lower back

Facility: Alhambra Hospital Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $164
  • Cash Discount Price: $1,175
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Alhambra Hospital Medical Center is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,175. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.54x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$1,175

Average discount available for prompt cash payment at this facility.

Insurance Median
$164

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: $1,175 (1100%)
Insurance Median: $164 (154%)
Cash: $1,175 (1100% of Medicare)
Ins. Median: $164 (154% 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
Ahmc-Reciprocity-Medi-Cal/Healthy Families $44 41%
Citrus Valley Health Partners $44 41%
La Care Pasc Seiu Misc $44 41%
La Care Medi-Cal Hmo $50 47%
Aetna $58 - $134 54%
Allied Physicians Of Ca Medi-Cal $71 66%
Health Net Medi-Cal $71 66%
Kaiser Medi-Cal $71 66%
Medi-Cal $71 66%
Miscellaneous Medi-Cal Hmo $71 66%
Stewart Mg Senior Hmo $81 76%
Blue Cross Blue Shield $83 - $234 78%
Blue Shield 65 Plus $127 119%
Apa Aco $130 122%
Altamed Senior Services $132 124%
Brand New Day Sr $132 124%
Central Health Plan Of Ca Senior Hmo $132 124%
Health Net Senior Hmo $132 124%
Medicare (plans) $132 - $705 124%
Humana $134 125%
La Care Exchange $134 125%
Miscellaneous Senior Hmo $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $178 125%
Wellcare Senior Hmo $134 125%
Alignment Senior Hmo $139 130%
Health Net Salud Con Hmo $164 154%
Molina Exchange $165 154%
Health Net Exchange $166 155%
Miscellaneous Work Comp Hmo $179 168%
Ahmc Health $198 185%
Allied Physicians Of Ca Commercial $202 189%
Cigna $241 - $529 226%
Health Net Ppo/Epo/Pos $280 262%
Blue Shield Value Network Exchange $349 327%
Ahmc-Reciprocity-Comm/Senior $352 330%
Blue Shield Hmo/Ppo $389 364%
Allied Physicians Comm/Sr $411 385%
Allied Physicians Medi-Cal $411 385%
Wellcare Allied Senior Hmo $411 385%
Molina Health Plan $458 429%
Self Pay $470 440%
Health Net Exchange Enhanced Ppo $498 466%
Kaiser Commercial $728 682%
Scan Senior Plan $764 715%
Multiplan $940 880%
Miscellaneous Commercial Ppo/Hmo $1,175 1100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals