CMS Price Transparency Data

X-ray, lower back

Facility: Rush University Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $345
  • Cash Discount Price: $367
  • vs. Medicare Baseline: 3.23x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Rush University Medical Center is $345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.23x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.
Cash / Self-Pay
$367

Average discount available for prompt cash payment at this facility.

Insurance Median
$345

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: $367 (344%)
Insurance Median: $345 (323%)
Cash: $367 (344% of Medicare)
Ins. Median: $345 (323% 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 323% of the Medicare baseline (a markup of 223%). 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
Blue Cross Blue Shield $57 - $733 53%
Cigna $60 - $733 56%
County Care Mcaid - All Plans $70 66%
Meridian Mcaid - All Other Plans $70 66%
Molina Mcaid $75 70%
Aetna $115 - $733 108%
Molina Fide-Snp $117 110%
Meridian Dnsp $118 110%
Ambetter / Centene $151 141%
Molina Exch - All Other Plans $152 142%
UnitedHealthcare $415 - $990 389%
Devoted Mcr Adv - All Plans $733 686%
Humana $733 686%
Wellcare Mcr Adv - All Plans $733 686%
Zing Hlth Mcr Adv - All Plans $777 727%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1653 West Congress Parkway, Chicago, IL 60612
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals