CMS Price Transparency Data

X-ray, lower back

Facility: Elliot Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$168
about 1.6× the $107 Medicare rate · typically $133–$299
modeled estimate · not a bill or quote
What this hospital charges insurers
$145
Below the fair price — a good deal
about $23 under the fair price · 1.4× Medicare
Medicare pays $107 Fair price $168 This hospital $145 Cash price $378 Hospital's list price $1,021

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NH hospitals compared.

Cheapest $37 Priciest $254

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $168 (about 1.6× the $107 Medicare rate). Elliot Hospital charges insurers about $145, or about $378 in cash — below the fair price — a good deal. Located in Manchester, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $112 - $638 105%
Aetnamajor $114 107%
Cignamajor $274 257%
Ambetter (Centene) $145 136%
WellSense $116 109%
+ 1 smaller / regional plan $117

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1 Elliot Way, Manchester, NH 03103
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals