CMS Price Transparency Data

X-ray, lower back

Facility: Cheshire Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $111
Cash Discount Price: $138
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Cheshire Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $138 (129%)

Insurance Median: $111 (104%)

Cash: $138 (129% of Medicare)

Ins. Median: $111 (104% 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.

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
Aetna	$13 - $573	12%
Ambetter / Centene	$13 - $99	12%
Blue Cross Blue Shield	$13 - $665	12%
Cigna	$13 - $640	12%
Martin'S Point Generations Advantage	$13 - $111	12%
Martin'S Point Health Care	$13 - $111	12%
Mvp	$13 - $640	12%
UnitedHealthcare	$13 - $635	12%
Wellcare Health Plans	$13 - $111	12%
Wellsense Health Plan	$13 - $119	12%
Amerihealth Caritas Nh	$20 - $102	19%
Granite State Health Plan	$27 - $140	25%
Mass General Brigham Health Plan	$33 - $837	31%
Harvard Pilgrim Health Care Of Ne	$35 - $381	33%
Tufts Health Plan	$37 - $534	35%
Maine Community Health Options	$73 - $377	68%
First Health/Hcvm	$138 - $711	129%
Phcs	$146 - $753	137%

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 $138.
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 Cheshire Medical Center 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.