CMS Price Transparency Data

X-ray, lower back

Facility: Palisades Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $174
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Palisades Medical Center is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.63x the Medicare baseline. Located in 7600 River Rd, North Bergen, NJ.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $125 (117%)
Insurance Median: $174 (163%)
Cash: $125 (117% of Medicare)
Ins. Median: $174 (163% 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
Karna $23 - $101 22%
Horizon $45 - $883 42%
Aetna $88 - $174 82%
Amerihealth $99 - $100 93%
Amerigroup $125 117%
Blue Cross Blue Shield $125 117%
Vaccn $125 117%
Wellcare $125 117%
United Community/Americhoice $131 123%
Cigna $137 128%
Seoul Medical Group $177 166%
Clover $183 171%
Oxford $295 276%
UnitedHealthcare $295 276%
Activecare First McO $764 715%
Bergen Risk $764 715%
Brighton Health Plan $815 763%
Multiplan - PHCS $866 811%
Qualcare $944 884%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 River Rd, North Bergen, NJ 07047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals