CMS Price Transparency Data

X-ray, lower back

Facility: Gunnison Valley Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $304
Cash Discount Price: $323
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Gunnison Valley Hospital is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.85x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$323

Average discount available for prompt cash payment at this facility.

Insurance Median

$304

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: $323 (302%)

Insurance Median: $304 (285%)

Cash: $323 (302% of Medicare)

Ins. Median: $304 (285% 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 285% of the Medicare baseline (a markup of 185%). 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
Cigna	$11 - $602	10%
Medicare (plans)	$12 - $301	11%
Aetna	$18 - $589	17%
Apostrophe-All Plans	$21 - $553	20%
Medicaid / KanCare	$52 - $76	49%
Gunnison County Sheriff Op & Profee Only	$55 - $315	51%
Ebms Hdhp	$64 - $368	60%
Tetwp Op & Profee Only-All Plans	$64 - $368	60%
U Of Co Transplant-All Plans	$64 - $368	60%
Ebms Ppo Plan-All Other Plans	$75 - $430	70%
Gunnison County Employees-All Other Plans	$86 - $491	81%
Scottish Rites-All Plans	$86 - $491	81%
Elap Employers-All Plans	$91 - $522	85%
Blue Cross Blue Shield	$94 - $538	88%
Multiplan-All Plans	$96 - $571	90%
Rocky Mountain Health-All Plans	$102 - $583	95%
UnitedHealthcare	$102 - $583	95%
Cofinity-All Plans	$103 - $589	96%
Gunnison County Coroner Op Only	$315	295%

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 $323.
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 Gunnison Valley 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.