CMS Price Transparency Data

X-ray, lower back

Facility: New London Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $56
Cash Discount Price: $185
vs. Medicare Baseline: 0.52x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at New London Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.52x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$185

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $185 (173%)

Insurance Median: $56 (52%)

Cash: $185 (173% of Medicare)

Ins. Median: $56 (52% 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
Amerihealth Caritas Nh	$9 - $206	8%
Granite State Health Plan	$9 - $204	8%
Wellsense Health Plan	$9 - $178	8%
Blue Cross Blue Shield	$12 - $400	11%
Martin'S Point Generations Advantage	$12 - $178	11%
Martin'S Point Health Care	$12 - $278	11%
UnitedHealthcare	$12 - $317	11%
Wellcare Health Plans	$13 - $178	12%
Aetna	$14 - $350	13%
Harvard Pilgrim Health Care Of Ne	$15 - $289	14%
Ambetter / Centene	$16 - $178	15%
Cigna	$17 - $274	16%
Tufts Health Plan	$280 - $292	262%
Coventry	$383	359%
Multiplan	$385	360%

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 $185.
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 New London Hospital 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.