CMS Price Transparency Data

X-ray, lower back

Facility: Steele Memorial Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $177
Cash Discount Price: $158
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Steele Memorial Medical Center is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 203 South Daisy Street, Salmon, ID.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$177

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: $158 (148%)

Insurance Median: $177 (166%)

Cash: $158 (148% of Medicare)

Ins. Median: $177 (166% 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.

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
Aetna	$12 - $352	11%
Pacific Source Mcr Adv	$12 - $174	11%
Select Health Mcr Adv	$12 - $176	11%
UnitedHealthcare	$12 - $352	11%
Windsor Hp Mcr Adv - All Plans	$12 - $174	11%
Blue Cross Blue Shield	$14 - $370	13%
Liberty Healthshare - All Plans	$19 - $296	18%
Multiplan - All Plans	$49 - $363	46%
Ichn, Llc - All Plans	$50 - $370	47%
Pacific Source - All Other Plans	$333	312%
Cigna	$341	319%
Mountain Health Co-Op - All Plans	$352	330%
Select Health Inc - All Other Plans	$352	330%
Three Rivers - All Plans	$363	340%
Regence Blue Shield - All Plans	$925	866%

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 $158.
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 Steele Memorial 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.