CMS Price Transparency Data

X-ray, lower back

Facility: Adventist Health Lodi Memorial

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $62
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Adventist Health Lodi Memorial is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.58x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $42 (39%)
Insurance Median: $62 (58%)
Cash: $42 (39% of Medicare)
Ins. Median: $62 (58% 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
Alignment Health Plan (Ahp)-All Plans $13 - $138 12%
Blue Shield Mcare Adv $13 - $138 12%
Healthnet Mcare $13 - $138 12%
Hp Of San Joaquin Mcr Adv $13 - $138 12%
Humana $13 - $138 12%
Knnex Health - All Plans $13 - $165 12%
Medcore(Omni Ipa) Op Only- All Plans $13 - $722 12%
Tricare $13 - $138 12%
UnitedHealthcare $13 - $1,153 12%
Ah Employee Health Plan - All Plans $14 - $248 13%
Hp Healthy Kids Pro Fee $14 13%
First Health- All Plans $15 - $2,277 14%
Blue Shield Epn - All Other Plans $16 - $900 15%
Beech Street- All Plans $17 - $2,499 16%
Blue Shield Non-Epn $17 - $933 16%
Hp Of San Joaquin Ppo - All Other Plans $17 - $2,638 16%
Kaiser Commercial - All Other Plans $17 - $1,139 16%
Kaiser Mcr Adv $17 - $138 16%
Multiplan- All Plans $17 - $2,222 16%
Networks By Design- All Plans $17 - $1,388 16%
Cigna $18 - $2,499 17%
Healthnet- All Other Plans $19 - $1,364 18%
Western Growers- All Plans $20 - $2,499 19%
Blue Cross Blue Shield $27 - $288 25%
Bc Mcal $32 - $44 30%
Celtic Ins Company - All Plans $44 - $70 41%
Kaiser Mcal $44 - $63 41%
Medi-Cal $44 - $63 41%
Three Rivers Provider Network- All Plans $45 - $2,499 42%
Hp Mcal Pro Fee $48 45%
Healthnet Mcal $50 - $90 47%
Hp Of San Joaquin Mcal $50 - $79 47%
Aetna $58 - $476 54%
Cca Health Plan Mcr Adv- All Plans $138 129%
Bright Health - All Plans $276 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals