CMS Price Transparency Data

X-ray, lower back

Facility: Adventist Health Clearlake

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$349
about 3.3× the $107 Medicare rate · typically $95–$640
modeled estimate · not a bill or quote
What this hospital charges insurers
$322
About the fair price
about $27 under the fair price · 3.0× Medicare
Medicare pays $107 Fair price $349 This hospital $322 Cash price $525 Hospital's list price $1,460

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $322

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $349 (about 3.3× the $107 Medicare rate). Adventist Health Clearlake charges insurers about $322, or about $525 in cash — about the fair price. Located in Clearlake, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $318 - $1,286 298%
Blue Cross Blue Shieldmajor $230 - $354 215%
Aetnamajor $1,029 - $1,152 963%
Cignamajor $1,239 - $1,388 1160%
Humanamajor $1,170 - $1,311 1095%
Kaiser Permanentemajor $289 - $1,388 271%
Health Net $1,129 - $1,264 1057%
+ 6 smaller / regional plans $63 - $2,544
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 15630 18Th Ave - Hwy 53, Clearlake, CA 95422
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals