CMS Price Transparency Data

X-ray, lower back

Facility: Montrose Regional Health

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $213
Cash Discount Price: $275
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Montrose Regional Health is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.99x the Medicare baseline. Located in 800 S 3Rd St, Montrose, CO.

Cash / Self-Pay

$275

Average discount available for prompt cash payment at this facility.

Insurance Median

$213

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: $275 (257%)

Insurance Median: $213 (199%)

Cash: $275 (257% of Medicare)

Ins. Median: $213 (199% 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
Blue Cross Blue Shield	$13 - $501	12%
Humana	$13 - $506	12%
Medicare (plans)	$13 - $118	12%
UnitedHealthcare	$14 - $506	13%
Montrose Community Healthplan-All Plans	$18 - $453	17%
United Rocky Mountain Chp-All Other Plans	$21 - $229	20%
United Rocky Mountain Private Plan	$22 - $493	21%
United Rocky Mountain Self Insured	$22 - $506	21%
Sloans Lake Managed Care-All Plans	$30 - $508	28%
Three Rivers-All Plans	$40 - $506	37%
Western Healthcare Alliance-All Plans	$40 - $480	37%
Cigna	$43 - $506	40%
Multiplan-All Plans	$43 - $506	40%
Uchpa - All Plans	$43 - $506	40%
United Rocky Mountain Mcaid	$45 - $515	42%

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 $275.
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 Montrose Regional Health 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.