CMS Price Transparency Data

X-ray, lower back

Facility: St Francis Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $986
Cash Discount Price: $917
vs. Medicare Baseline: 9.23x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at St Francis Hospital is $986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $917. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.23x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$917

Average discount available for prompt cash payment at this facility.

Insurance Median

$986

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: $917 (859%)

Insurance Median: $986 (923%)

Cash: $917 (859% of Medicare)

Ins. Median: $986 (923% 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 923% of the Medicare baseline (a markup of 823%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Wexford	$70	66%
Molina Healthcare	$73 - $281	68%
Meridian Health Plan	$77	72%
Humana	$268	251%
Blue Cross Blue Shield	$268 - $293	251%
Clear Spring Health of Illinois	$268	251%
Aetna	$280 - $896	262%
UnitedHealthcare	$280 - $1,274	262%
Amish Community	$357	334%
Celtic Insurance Company	$645	604%
Claim Doc	$669	626%
Hopetrust	$733	686%
Wellfirst	$820	768%
First Health	$945	885%
Cigna	$950	889%
Caterpillar, Inc.	$1,022	957%
Current Health Solutions	$1,070	1002%
Consociate Group	$1,083	1014%
Multiplan/Phcs	$1,083	1014%
Healthlink	$1,087	1018%
Healthcare Finest Network (Hfn)	$1,147	1074%
Provider Network of America	$1,147	1074%
Live360	$1,274	1193%
Illinois Breast and Cervical Cancer Program	$1,274	1193%
Naphcare	$1,274	1193%
Health Alliance Medical Plans	$1,274	1193%
Interplan	$1,274	1193%
Healthscope	$1,274	1193%

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 $917.
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 St Francis Hospital 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.