CMS Price Transparency Data

X-ray, lower back

Facility: Adventist Health Tulare

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $75
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Adventist Health Tulare is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.70x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $122 (114%)
Insurance Median: $75 (70%)
Cash: $122 (114% of Medicare)
Ins. Median: $75 (70% 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
Blue Shield Mcare $13 - $134 12%
Fhcn Pace Mcr Adv - All Plans $13 - $134 12%
Medicare (plans) $13 - $134 12%
Tricare $13 - $134 12%
UnitedHealthcare $13 - $894 12%
Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot $13 12%
Ah Employee Health Plan - All Plans $14 - $242 13%
Incentive Hlth - All Plans $14 - $242 13%
Cigna $16 - $571 15%
Hs Interplan-All Plans $16 - $827 15%
Cal Forensic Med Grp - All Plans $17 - $175 16%
Healthnet Hmo/Ppo - All Other Plans $19 - $358 18%
Blue Shield Epn $21 - $390 20%
Blue Shield-All Other Plans $22 - $539 21%
Blue Cross Blue Shield $23 - $267 22%
Aetna $37 - $228 35%
Ccipa Medi-Cal - All Plans $44 - $82 41%
Healthnet Medi-Cal $44 - $82 41%
Medi-Cal $44 - $63 41%
Upn-United Physcn Ntwrk Mcal Profee Only $44 41%
Dignity Mcal Op Only $69 65%
Independence Op Only - All Plans $69 65%
Dignity Mcr Op Only - All Other Plans $134 125%
Prime Health - All Plans $134 125%
Prison Hlthcre - All Plans $172 161%
Bright Health - All Plans $195 183%
Western Growers - All Plans $568 532%
Network By Design-All Plans $864 809%
Multiplan - All Plans $1,049 982%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals