CMS Price Transparency Data

X-ray, lower back

Facility: Saint Mary's Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $131
Cash Discount Price: $113
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Saint Mary's Regional Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.23x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $113 (106%)

Insurance Median: $131 (123%)

Cash: $113 (106% of Medicare)

Ins. Median: $131 (123% 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
Blue Cross Blue Shield	$36 - $219	34%
Health Plan Of Nevada	$36 - $114	34%
Medicaid / KanCare	$36	34%
Silver Summit	$36 - $199	34%
Molina Healthcare Of Nv	$37 - $114	35%
Access To Healthcare Network	$50	47%
Occunet	$87 - $227	81%
Aetna	$113 - $114	106%
Medicare (plans)	$114	107%
Saint Mary Health Plan	$114 - $131	107%
Sierra	$114	107%
Tricare	$114	107%
Triwest	$114	107%
Alignment	$116	109%
UnitedHealthcare	$117 - $329	110%
Pam	$131	123%
Veterans Evaluation Service Ves	$142	133%
Employer Direct	$159	149%
Home Town Test	$159	149%
Naphcare	$159	149%
Asserta Health	$171	160%
Imperial Insurance Company	$171 - $210	160%
Custom Ink	$178	167%
Nevada Health Partners	$211	198%
6 Degrees	$227	213%
Nv Preferred	$242 - $258	227%

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 $113.
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 Saint Mary's Regional 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.