CMS Price Transparency Data

X-ray, lower back

Facility: Sky Ridge Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,180
Cash Discount Price: $7,765
vs. Medicare Baseline: 11.05x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Sky Ridge Medical Center is $1,180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,765. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.05x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.

Cash / Self-Pay

$7,765

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,180

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: $7,765 (7270%)

Insurance Median: $1,180 (1105%)

Cash: $7,765 (7270% of Medicare)

Ins. Median: $1,180 (1105% 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 1105% of the Medicare baseline (a markup of 1005%). 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 - $5,746	29%
Pinnacol Workers Comp	$169	158%
Multiplan	$176 - $6,989	165%
United	$185 - $3,494	173%
Rocky Mountain Health Plan	$245	229%
Cigna	$268 - $4,970	251%
Vail Health	$1,180	1105%
Kaiser	$1,553 - $2,757	1454%
Bright Health	$2,330	2181%
Aetna	$4,100	3839%
Western Plains Community Health	$5,048	4726%
Northcare	$5,436	5089%
Physician Health Partners	$5,436	5089%
Medical Development International	$6,212	5816%
Prime Health	$6,989	6543%

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 $7,765.
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 Sky Ridge Medical Center 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.