CMS Price Transparency Data

X-ray, lower back

Facility: Columbia Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $47
Cash Discount Price: $90
vs. Medicare Baseline: 0.44x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Columbia Memorial Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.44x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $90 (84%)

Insurance Median: $47 (44%)

Cash: $90 (84% of Medicare)

Ins. Median: $47 (44% 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	$9 - $96	8%
Cdphp	$9 - $126	8%
Mvp	$9 - $109	8%
Medicare (plans)	$10 - $55	9%
Medicaid / KanCare	$11 - $52	10%
Tricare	$11 - $55	10%
UnitedHealthcare	$11 - $178	10%
Emblem Health Ghi	$12 - $53	11%
Fidelis	$12 - $132	11%
Hamaspik	$12 - $70	11%
Aetna	$14 - $153	13%
Blue Shield Highmark	$14 - $57	13%
Cigna	$17 - $66	16%
Emblem	$77 - $128	72%
Empire Plan Nyship	$77	72%
Blue Shield	$97 - $183	91%
Magnacare	$102	95%
Multiplan	$108 - $957	101%
Herrington Diversified Pdh	$120 - $189	112%
Mvp Commercial	$120 - $155	112%

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 $90.
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 Columbia Memorial 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.