CMS Price Transparency Data

X-ray, lower back

Facility: St Francis Hospital - the Heart Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $126
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at St Francis Hospital - the Heart Center is $126. 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 1.18x the Medicare baseline. Located in 100 Port Washington Boulevard, Roslyn, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $126 (118%)
Ins. Median: $126 (118% 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
Affinity Health Plan $30 - $68 28%
Centerlight Healthcare $30 - $126 28%
Elderplan Inc. $30 - $126 28%
Emblem Health $30 - $283 28%
Fidelis Care New York $30 - $126 28%
Health First $30 - $283 28%
Health Plus $30 - $126 28%
Independent Health $30 - $126 28%
Medicaid / KanCare $30 28%
Mvp Health Plans $30 - $126 28%
Senior Whole Health $30 - $126 28%
UnitedHealthcare $30 - $245 28%
Aetna $68 - $126 64%
Mail Handlers Benefit Plan $82 77%
Meritain Health $82 77%
Nippon Life Insurance Company Of America $82 77%
Salvation Army $82 77%
Zadroga $91 85%
Blue Cross Blue Shield $92 - $123 86%
Self Pay $122 114%
Apwu $123 115%
Centivo $123 - $152 115%
Cigna $123 - $499 115%
Daniel H Cook $123 115%
Nalc $123 115%
Samba $123 115%
Centers Plan For Healthy Living $126 118%
Healthspring $126 118%
Liberty Health $126 118%
Longevity Health Plan $126 118%
Medicare (plans) $126 - $132 118%
Orthonet - Uniformed Services Family Health Plan $126 118%
Pmc $126 118%
Tricare $126 118%
Universal Healthcare $126 118%
Us Family Health Plan $126 118%
Veterans Affairs $126 118%
Humana $128 120%
Agewell New York $130 122%
Partners Health Plan $132 124%
Wellcare Health Plan Inc $138 129%
Local 1199 $188 176%
Surest $245 229%
American Plan Administrators $283 265%
Amerihealth Administrators $283 265%
Benefit Services $283 265%
Ghi Cbp Ny City Employee Alternate $283 265%
International Benefit Administrator $283 265%
Ultra Benefits Inc. $283 265%
Oscar Health $292 273%
Brighton $356 - $499 333%
Allied Wellfare Fund $499 467%
American Group Administrators $499 467%
Bakery & Confectionery Union $499 467%
Comprehensive Benefits Consultant $499 467%
Guardian Life Insurance Company Of America $499 467%
Maloney And Assoc $499 467%
Multiplan $499 467%
Performax $499 467%
Phcs $499 467%
Pomco $499 467%
Tpa Inc $499 467%
Unicare $499 467%
United Employees Health Plan $499 467%
Coventry $528 - $592 494%
Galaxy $642 601%
Three Rivers Provider Network $642 601%
Aither Health $713 668%
Alpha Care $713 668%
Dentaquest $713 668%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals