CMS Price Transparency Data

X-ray, lower back

Facility: HCA Healthone Mountain Ridge

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $390
  • Cash Discount Price: $3,790
  • vs. Medicare Baseline: 3.65x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at HCA Healthone Mountain Ridge is $390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,790. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.65x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.
Cash / Self-Pay
$3,790

Average discount available for prompt cash payment at this facility.

Insurance Median
$390

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: $3,790 (3548%)
Insurance Median: $390 (365%)
Cash: $3,790 (3548% of Medicare)
Ins. Median: $390 (365% 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 365% of the Medicare baseline (a markup of 265%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $2,805 29%
Pinnacol Workers Comp $169 158%
Multiplan $176 - $3,411 165%
United $185 - $1,706 173%
Cigna $221 - $2,426 207%
Rocky Mountain Health Plan $245 229%
Life Source Services $350 328%
Vail Health $576 539%
Kaiser $716 - $1,346 670%
Bright Health $1,137 1065%
Colorado Program For Children With Special Needs $1,289 1207%
Aetna $2,001 1873%
Western Plains Community Health $2,464 2307%
Northcare $2,653 2484%
Physician Health Partners $2,653 2484%
Medical Development International $3,032 2839%
Prime Health $3,411 3194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9191 Grant St, Thornton, CO 80229
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals