CMS Price Transparency Data

X-ray, lower back

Facility: Kings County Hospital Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $75
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Kings County Hospital Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.70x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $126 (118%)
Insurance Median: $75 (70%)
Cash: $126 (118% of Medicare)
Ins. Median: $75 (70% 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 - $170 10%
Aetna $12 - $1,131 11%
Amidacare $14 - $75 13%
Emblem $14 - $189 13%
Wellcare $15 - $65 14%
Metroplus $17 - $170 16%
Fidelis $20 - $179 19%
Oscar $21 - $189 20%
United $30 - $378 28%
Blue Cross Blue Shield $43 - $378 40%
Affinity $53 - $170 50%
Centerlight $60 - $236 56%
Elderplan $60 - $307 56%
Centers Plan For Healthy Living $62 - $131 58%
Hamaspik $63 59%
Local 1199 $67 - $402 63%
Carelon $75 - $307 70%
Senior Whole Health $75 70%
United Behavioral Health $75 - $83 70%
Carelon (Amida Care) $77 72%
Vnsny $77 - $402 72%
Cigna $96 - $354 90%
Oxford $112 - $284 105%
Vaccn $126 118%
Magnacare $354 331%
Multiplan $378 354%
Villagecare Max $402 376%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals