CMS Price Transparency Data

X-ray, lower back

Facility: Adventist Health Tehachapi Valley

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $132
Cash Discount Price: $85
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Adventist Health Tehachapi Valley is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.24x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $85 (80%)

Insurance Median: $132 (124%)

Cash: $85 (80% of Medicare)

Ins. Median: $132 (124% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthnet Mcare	$13 - $189	12%
Tricare	$13 - $189	12%
UnitedHealthcare	$13 - $487	12%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$13 - $189	12%
Ah Employee Health Plan - All Plans	$14 - $527	13%
Network Providers- All Plans	$14 - $242	13%
Aetna	$15 - $204	14%
Oscar Health Plan- All Plans	$15 - $171	14%
Coventry- All Plans	$16 - $895	15%
Cigna	$18 - $776	17%
Centivo - All Plans	$19 - $425	18%
Healthnet- All Other Plans	$19 - $765	18%
Western Grwrs/Pinnacle - All Plans	$19 - $417	18%
Blue Shield Epn- All Other Plans	$21 - $420	20%
Blue Shield Non-Epn	$22 - $497	21%
Medi-Cal	$44 - $63	41%
Universal Ipa Mcal Op/Profee Only	$44 - $63	41%
Medicare (plans)	$59 - $189	55%
Kaiser Medi-Cal Ip/Op Only	$63	59%
Bc Mcal	$65	61%
Healthnet Medi-Cal	$77	72%
Khs-Kern Hlth Systm Mcal	$81	76%
Kaiser Ip/Op Only- All Other Plans	$102 - $325	95%
Klhp-Kern Legacy Epo -All Other Plans	$156 - $497	146%
Blue Cross Blue Shield	$163 - $573	153%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $85.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.