CMS Price Transparency Data

X-ray, lower back

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $318
Cash Discount Price: $1,120
vs. Medicare Baseline: 2.98x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Healthone Presbyterian St Luke's is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,120. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.98x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.

Cash / Self-Pay

$1,120

Average discount available for prompt cash payment at this facility.

Insurance Median

$318

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: $1,120 (1049%)

Insurance Median: $318 (298%)

Cash: $1,120 (1049% of Medicare)

Ins. Median: $318 (298% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 298% of the Medicare baseline (a markup of 198%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$31 - $829	29%
Pinnacol Workers Comp	$169	158%
Vail Health	$170	159%
Multiplan	$176 - $1,008	165%
United	$185 - $504	173%
Kaiser	$224 - $291	210%
Rocky Mountain Health Plan	$245	229%
Cigna	$318 - $717	298%
Aetna	$336 - $591	315%
Bright Health	$336	315%
Emerging Therapy Solutions	$537 - $717	503%
Kaiser National Transplant	$537	503%
Colorado Program For Children With Special Needs	$571	535%
Western Plains Community Health	$728	682%
Northcare	$784	734%
Physician Health Partners	$784	734%
Medical Development International	$896	839%
Prime Health	$1,008	944%

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 $1,120.
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 HCA Healthone Presbyterian St Luke's 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.