CMS Price Transparency Data

X-ray, lower back

Facility: Elmhurst Hospital Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $71
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Elmhurst Hospital Center is $71. 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 0.66x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $71 (66%)
Ins. Median: $71 (66% 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 - $128 10%
Aetna $12 - $1,131 11%
Amidacare $14 - $59 13%
Emblem $14 - $189 13%
Wellcare $15 - $64 14%
Metroplus $17 - $128 16%
Fidelis $20 - $179 19%
Oscar $21 - $189 20%
United $30 - $263 28%
Blue Cross Blue Shield $57 - $263 53%
Carelon $57 - $213 53%
Senior Whole Health $57 - $127 53%
United Behavioral Health $57 - $62 53%
Affinity $58 - $128 54%
Carelon (Amida Care) $58 54%
Vnsny $58 - $279 54%
Cigna $96 - $246 90%
Oxford $112 - $197 105%
Vaccn $126 118%
Centers Plan For Healthy Living $131 123%
Centerlight $164 154%
Elderplan $213 - $252 199%
Magnacare $246 230%
Multiplan $263 246%
Local 1199 $279 261%
Villagecare Max $279 261%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals