CMS Price Transparency Data

X-ray, lower back

Facility: Mt Sinai Hospital Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $112
  • Cash Discount Price: $253
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mt Sinai Hospital Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.05x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$253

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $253 (237%)
Insurance Median: $112 (105%)
Cash: $253 (237% of Medicare)
Ins. Median: $112 (105% 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
Partners In Hlth - All Plans $16 - $272 15%
Blue Cross Blue Shield $18 - $433 17%
Healthlink Hmo $20 - $340 19%
Healthlink Ppo - All Other Plans $20 - $340 19%
Compsych Ip/Op Only - All Plans $25 - $408 23%
Hfn Platinum $27 - $442 25%
Multiplan Primary Ntwrk/Phcs - All Other Plans $29 - $476 27%
Hfn Epo $33 - $544 31%
Multiplan Complementary Ntwrk $33 - $544 31%
Hfn Ppo - All Other Plans $36 - $599 34%
Ambetter / Centene $43 - $715 40%
Oscar - All Plans $43 - $715 40%
Cigna $51 - $843 48%
Aetna $84 - $1,538 79%
Family Health Network Mcaid - All Plans $84 79%
Molina Mcaid $88 82%
Tricare $109 102%
Va Healthnet - All Plans $109 102%
Advocate Physician Prtnrs Mcr $112 105%
Cenpatico Illinicare Dual $112 105%
Cenpatico Illinicare Mcr - All Other Plans $112 105%
Humana $112 - $2,137 105%
Lawndale Christian - All Plans $112 105%
Meridian/Harmony D-Snp - All Plans $112 105%
Nextlevel Hlth Icp Fhp Aca - All Plans $112 105%
UnitedHealthcare $112 - $283 105%
Harmony Behavioral Htlh - All Plans $115 108%
Zing Mcr Adv - All Plans $117 110%
Molina Mcr - All Other Plans $118 110%
Advocate Physician Prtnrs - All Other Plans $123 115%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals