CMS Price Transparency Data

X-ray, lower back

Facility: F F Thompson Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $35
Cash Discount Price: $256
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at F F Thompson Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.33x the Medicare baseline. Located in 350 Parrish Street, Canandaigua, NY.

Cash / Self-Pay

$256

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $256 (240%)

Insurance Median: $35 (33%)

Cash: $256 (240% of Medicare)

Ins. Median: $35 (33% 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
UnitedHealthcare	$8 - $130	7%
Medicaid / KanCare	$9 - $105	8%
Medicare (plans)	$11 - $144	10%
Mvp 2900	$11 - $286	10%
Aetna	$12 - $130	11%
Blue Cross Blue Shield	$12 - $362	11%
Excellus 2201	$12 - $48	11%
Fidelis 5155	$14 - $59	13%
Cigna	$16 - $305	15%
Independent Health 5156	$16 - $74	15%
Capital District Physicians Health Plan (Cdphp) 5149	$31 - $126	29%
Molina Healthcare 1723	$38 - $68	36%
Elderplan 1316	$130	122%
Humana	$130	122%

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 $256.
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 F F Thompson 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.