CMS Price Transparency Data

X-ray, lower back

Facility: Aspen Valley Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $899
  • Cash Discount Price: $899
  • vs. Medicare Baseline: 8.42x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Aspen Valley Hospital is $899. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $899. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.42x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.
Cash / Self-Pay
$899

Average discount available for prompt cash payment at this facility.

Insurance Median
$899

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: $899 (842%)
Insurance Median: $899 (842%)
Cash: $899 (842% of Medicare)
Ins. Median: $899 (842% 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 842% of the Medicare baseline (a markup of 742%). 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
Ccmsi [700017] $218 204%
Aetna $485 - $899 454%
Blue Cross Blue Shield $485 - $832 454%
Humana $485 - $854 454%
Medicare (plans) $485 454%
Tricare $485 - $899 454%
UnitedHealthcare $485 - $899 454%
Veterans Administration [100068] $485 454%
Cigna $629 - $899 589%
Allied Benefit Systems [100015] $854 800%
Geha [100039] $854 800%
Healthscope [100157] $854 800%
Aarp [100007] $899 842%
Aig Travel [100255] $899 842%
Aig [700029] $899 842%
Ameriben [100266] $899 842%
American Republic [100018] $899 842%
Amtrust North America [700042] $899 842%
Axa Travel [100256] $899 842%
Bankers Life Casualty [100022] $899 842%
Broadspire [700043] $899 842%
Bupa Global [100257] $899 842%
Champ Va [500001] $899 842%
Chp [300053] $899 842%
Chubb Services [700054] $899 842%
Companion Life Pivot Health [100258] $899 842%
Corvel [700058] $899 842%
Employee Benefit Management [100033] $899 842%
Equitable Life [100160] $899 842%
Esis Work Comp [700010] $899 842%
Freedom Life Insurance Company [100158] $899 842%
Gallagher Bassett Work Comp [700013] $899 842%
Generic Commercial [109999] $899 842%
Generic Other [509999] $899 842%
Generic Travel Insurance [109998] $899 842%
Generic Workers' Comp [709999] $899 842%
Gerber Life Insurance [100265] $899 842%
Global Excel [100259] $899 842%
Gmmi [100260] $899 842%
Hartford Work Comp [700055] $899 842%
Harvard Pilgrim Healthcare [100241] $899 842%
Health Net [100261] $899 842%
Imagine 360 [100043] $899 842%
Kaiser Permanente [100254] $899 842%
Liberty Healthshare [100262] $899 842%
Liberty Mutual Work Comp [700016] $899 842%
Marriott Claim [700056] $899 842%
Medi Share [100263] $899 842%
Medicaid / KanCare $899 842%
Mutual Of Omaha [100074] $899 842%
Owcp [700057] $899 842%
Physicians Mutual [100075] $899 842%
Pinnacol Assurance Wc [700059] $899 842%
Relations Insurance Kaiser [800004] $899 842%
Sedgwick [700027] $899 842%
Sentinel Security Life [100264] $899 842%
Skico Ortho Alternative Payer [100163] $899 842%
Transamerica [100097] $899 842%
Travelers Work Comp [700028] $899 842%
Tufts Health Plan [100268] $899 842%
United American Insurance [100119] $899 842%
Usaa Life Insurance Company [100155] $899 842%
Wea [100120] $899 842%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Castle Creek Rd, Aspen, CO 81611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals