CMS Price Transparency Data

X-ray, lower back

Facility: Ocean Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $191
Cash Discount Price: $111
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Ocean Medical Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.79x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$191

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: $111 (104%)

Insurance Median: $191 (179%)

Cash: $111 (104% of Medicare)

Ins. Median: $191 (179% 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
Karna	$22 - $101	21%
UnitedHealthcare	$69 - $295	65%
Aetna	$93 - $798	87%
Amerihealth	$99 - $101	93%
Amerigroup	$106	99%
Horizon	$106 - $841	99%
Vaccn	$106 - $116	99%
Wellcare	$106 - $116	99%
United Community/Americhoice	$112 - $122	105%
Blue Cross Blue Shield	$116	109%
Cigna	$137 - $141	128%
Clover	$183	171%
Seoul Medical Group	$198 - $201	185%
Oxford	$295 - $551	276%
Qualcare	$505 - $897	473%
Activecare First McO	$654 - $866	612%
Intergroup	$654	612%
Prime Health	$748	700%
Bergen Risk	$764	715%
Multiplan - PHCS	$795 - $866	744%
Brighton Health Plan	$815	763%

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 $111.
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 Ocean 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.