CMS Price Transparency Data

X-ray, lower back

Facility: The Women's Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $47
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 0.44x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at The Women's Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.44x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $55 (51%)
Insurance Median: $47 (44%)
Cash: $55 (51% of Medicare)
Ins. Median: $47 (44% 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
Chamber Care $12 11%
Immergrun $14 13%
Encorecombined $18 - $75 17%
Encoreprime $18 - $75 17%
Aetna $19 - $89 18%
Blue Cross Blue Shield $19 - $359 18%
Meridian Health Il $19 - $98 18%
Molina Il $19 - $98 18%
Caresource Hip $23 - $47 22%
Caresource In $23 - $47 22%
Mdwise Hip $23 - $47 22%
Mhs Behavioral $23 - $47 22%
UnitedHealthcare $23 - $98 22%
Humana $25 - $98 23%
Passport Molina Ky $25 - $38 23%
Wellcare Ky $25 - $98 23%
Caresource $35 - $98 33%
Iu Health $35 - $98 33%
Mhs $35 - $98 33%
Molina Ky $35 - $98 33%
Molina Ky Dual $35 - $98 33%
Patoka Valley Health Care (80/20 Plan) $35 - $47 33%
Patoka Valley Health Care (90/10 Plan) $35 - $47 33%
Amish $39 - $77 37%
Ambetter / Centene $40 - $152 37%
Caresource Marketplace (Just4Me) $46 - $147 43%
One Care $46 - $61 43%
Hst $47 - $147 44%
Alliance Coal $48 - $65 45%
Allied National/Zelis - Freedom Plan $49 - $240 46%
Claimdoc $51 - $142 48%
Self Pay $55 - $77 51%
Hope Trust $56 - $162 52%
Noncontracted $56 - $157 52%
Cigna $67 - $89 63%
Claritev (Formerly Phcs/Mulitplan) $67 - $89 63%
First Health/Coventry $67 - $89 63%
Healthlink $67 - $89 63%
Sagamore $67 - $89 63%
Center Care $95 - $133 89%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals