CMS Price Transparency Data

X-ray, lower back

Facility: Casa Colina Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $134
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Casa Colina Hospital is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $175 (164%)
Insurance Median: $134 (125%)
Cash: $175 (164% of Medicare)
Ins. Median: $134 (125% 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
Heritage Prvdr Ntwrk Comm - All Other Plans $39 - $128 37%
Heritage Prvdr Ntwrk Mcr $39 - $128 37%
Healthnet Comm - All Other Plans $40 - $131 37%
Aetna $49 - $161 46%
Corvel - All Plans $49 - $160 46%
Coventry - All Plans $49 - $160 46%
Humana $49 - $160 46%
Multiplan - All Plans $49 - $160 46%
Three Rivers - All Plans $49 - $160 46%
UnitedHealthcare $49 - $160 46%
Blue Cross Blue Shield $57 - $188 53%
Brand New Day Mcr Adv - All Plans $58 - $192 54%
Medi-Cal $63 59%
Galaxy Provdr Ntwrk - All Plans $68 - $224 64%
Kaiser Mcal $69 65%
Blue Shield Comm - All Other Plans $72 - $237 67%
Healthcare Partners - All Other Plans $78 - $257 73%
Healthcare Partners Mcr $78 - $257 73%
Primecare Comm - All Other Plans $78 - $257 73%
Primecare Mcr Adv $78 - $257 73%
Prospect Med Grp Alta - All Plans $83 - $273 78%
Iehp Mcal $97 - $157 91%
Heritage Prvdr Ntwrk Mcal $108 101%
Prospect Hp Mcal $121 113%
Promed Hlth Ntwrk Op Only - All Plans $128 120%
Blue Shield Mcr Adv $134 125%
Caremore Mcr Adv - All Plans $134 125%
Central Hlth Plan - All Plans $134 125%
Doctors Managed Op Only - All Plans $134 125%
Empire Healthcare Op Only - All Plans $134 125%
Epic Comm - All Other Plans $134 125%
Epic Mcr Adv $134 125%
Focus Healthcare Wc - All Plans $134 125%
Healthnet Mcr Adv $134 125%
Iehp - All Other Plans $134 125%
Iehp Mcr Adv $134 125%
Kaiser Comm - All Other Plans $134 125%
Kaiser Mcr Adv $134 125%
Premiercare Op Only - All Plans $134 125%
Prospect Hp Mcr Adv $134 125%
Triwest - All Plans $134 125%
Wellcare Mcr Adv - All Plans $134 125%
Prospect Hp Comm - All Other Plans $148 139%
Affiliated Hlth Funds - All Plans $168 157%
Cigna $288 270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals