CMS Price Transparency Data

X-ray, lower back

Facility: Saint Joseph Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $251
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.35x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Saint Joseph Hospital is $251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.35x the Medicare baseline. Located in 1375 E 19Th Ave, Denver, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$251

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%)

Insurance Median: $251 (235%)

Ins. Median: $251 (235% 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 235% of the Medicare baseline (a markup of 135%). 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
UnitedHealthcare	$106 - $335	99%
Kaiser Perm Hmo	$107 - $243	100%
Select Health	$107	100%
Kaiser Self Funded	$133 - $243	125%
Kaiser Perm Ppo/Pos	$135 - $251	126%
Aetna	$136 - $518	127%
Allegiance	$144	135%
Cigna	$144 - $578	135%
Kaiser Mrp	$144	135%
Kaiser Snp	$144	135%
Geha	$148 - $335	139%
Preferred One	$148 - $230	139%
Blue Cross Blue Shield	$230 - $470	215%
Humana	$243	228%
Denv Hlth Med Plan	$278	260%
Cofinity	$416	389%
First Health Network	$416	389%
Private Hlthcare Sys	$433	405%
Multiplan Inc	$485	454%
Midlands Choice	$560	524%

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 $X.
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 Saint Joseph Hospital 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.