CMS Price Transparency Data

X-ray, lower back

Facility: Medstar Saint Mary's Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $194
  • Cash Discount Price: $190
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Medstar Saint Mary's Hospital is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.82x the Medicare baseline. Located in 25500 Point Lookout Road, Leonardtown, MD.
Cash / Self-Pay
$190

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $190 (178%)
Insurance Median: $194 (182%)
Cash: $190 (178% of Medicare)
Ins. Median: $194 (182% 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
Aetna $194 182%
Amerigroup $194 182%
Amerihealth Caritas District Of Columbia $194 182%
Carefirst Advantage Inc $194 182%
Carefirst Blue Choice Inc $194 182%
Cigna $194 182%
First Health $194 182%
Hscsn $194 182%
Humana $194 182%
Kaiser Permanente $194 182%
Magellan Behavioral Health Inc $194 182%
Mamsi $194 182%
Medstar Family Choice $194 182%
Medstar Family Choice Inc $194 182%
Ncppo Healthlink Ppo $194 182%
Pfc $194 182%
Private Healthcare Systems (Phcs) $194 182%
Tricare $194 182%
United Behavioral Health Inc $194 182%
UnitedHealthcare $194 182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 25500 Point Lookout Road, Leonardtown, MD 20650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals