CMS Price Transparency Data

X-ray, lower back

Facility: Northside Hospital Forsyth

Billing Code: 72110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$130
about 1.2× the $107 Medicare rate · typically $65–$183
modeled estimate · not a bill or quote
What this hospital charges insurers
$132
About the fair price
about $2 over the fair price · 1.2× Medicare
Medicare pays $107 Fair price $130 This hospital $132 Cash price $691 Hospital's list price $921

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $132

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, lower back is about $130 (about 1.2× the $107 Medicare rate). Northside Hospital Forsyth charges insurers about $132, or about $691 in cash — about the fair price. Located in Cumming, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $104 - $651 97%
Blue Cross Blue Shieldmajor $95 - $642 89%
Aetnamajor $107 - $626 100%
Cignamajor $132 - $580 124%
Humanamajor $106 - $109 99%
Kaiser Permanentemajor $108 - $801 101%
Ambetter (Centene) $73 - $171 68%
Amerigroup $111 - $131 104%
CareSource $108 - $343 101%
Clover Health $110 103%
Health Net $258 242%
Oscar Health $66 62%
WellCare $108 101%
+ 26 smaller / regional plans $37 - $921
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1200 Northside Forsyth Drive, Cumming, GA 30041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals