CMS Price Transparency Data

X-ray, lower back

Facility: Jacobi Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $90
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Jacobi Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.84x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$90

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%)
Insurance Median: $90 (84%)
Ins. Median: $90 (84% 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
Healthfirst $11 - $185 10%
Aetna $12 - $1,131 11%
Amidacare $14 - $82 13%
Emblem $14 - $111 13%
Wellcare $15 - $65 14%
Metroplus $17 - $185 16%
Fidelis $20 - $185 19%
Oscar $21 - $189 20%
Blue Cross Blue Shield $30 - $378 28%
Carelon $82 - $307 77%
Senior Whole Health $82 77%
United $82 - $378 77%
United Behavioral Health $82 - $90 77%
Affinity $84 - $185 79%
Carelon (Amida Care) $84 79%
Vnsny $84 - $402 79%
Cigna $96 - $354 90%
Oxford $112 - $284 105%
Elderplan $126 - $307 118%
Vaccn $126 118%
Centers Plan For Healthy Living $131 123%
Centerlight $236 221%
Magnacare $354 331%
Multiplan $378 354%
Local 1199 $402 376%
Villagecare Max $402 376%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals