CMS Price Transparency Data

X-ray, lower back

Facility: East Morgan County Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $190
  • Cash Discount Price: $285
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at East Morgan County Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.78x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$285

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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: $285 (267%)
Insurance Median: $190 (178%)
Cash: $285 (267% of Medicare)
Ins. Median: $190 (178% 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.

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
Pinnacol Assurance Workers Comp $11 - $354 10%
Aetna $12 - $780 11%
Banner Health $12 - $361 11%
Blue Cross Blue Shield $12 - $688 11%
Clear Spring Health $12 - $361 11%
Healthspring Life & Health Insurance Company, Inc. $12 - $361 11%
Humana $12 - $382 11%
Longevity $12 - $372 11%
Medica $12 - $699 11%
Medicare (plans) $12 - $361 11%
Triwest Healthcare Alliance Corp - Va Ccn $12 - $361 11%
UnitedHealthcare $12 - $780 11%
Devoted Health Services $13 - $397 12%
Assist Health Group $14 - $433 13%
Denver Health Medical Plan $22 - $671 21%
Apostrophe, Inc. $24 - $755 22%
First Choice Health Network $24 - $755 22%
Hue Health, Inc $26 - $797 24%
Multiplan $26 - $814 24%
Rocky Mountain Health Plans $26 - $797 24%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals