CMS Price Transparency Data
X-ray, lower back
Facility: Upper Connecticut Valley Hospital
Billing Code: 72110 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$210
about 2.0× the $107 Medicare rate · typically $72–$370
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $210 Cash price $355 Hospital's list price $639
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 | $531 | 497% |
| Harvard Pilgrim | $437 | 409% |
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Other Procedures at Upper Connecticut Valley Hospital
Compare: X-ray, lower back at other NH hospitals
- New London Hospital · New London $37
- Mary Hitchcock Memorial Hospital · Lebanon $52
- Northeast Rehabilitation Hospital Network · Salem $91
- Cheshire Medical Center · Keene $94
- Wentworth-Douglass Hospital · Dover $113
- Elliot Hospital · Manchester $145
- Alice Peck Day Memorial Hospital · Lebanon $159
- Catholic Medical Center · Manchester $205
Insurance negotiated median for the same procedure, sorted lowest first.