CMS Price Transparency Data

X-ray, lower back

Facility: Bellevue Hospital Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $77
Cash Discount Price: $127
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Bellevue Hospital Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.72x the Medicare baseline. Located in 462 First Avenue, New York, NY.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $127 (119%)

Insurance Median: $77 (72%)

Cash: $127 (119% of Medicare)

Ins. Median: $77 (72% 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
Healthfirst	$11 - $170	10%
Aetna	$12 - $1,131	11%
Amidacare	$14 - $75	13%
Emblem	$14 - $189	13%
Wellcare	$15 - $186	14%
Metroplus	$17 - $170	16%
Fidelis	$20 - $179	19%
Oscar	$20 - $189	19%
United	$30 - $378	28%
Blue Cross Blue Shield	$43 - $378	40%
Affinity	$51 - $170	48%
Centerlight	$58 - $236	54%
Elderplan	$58 - $307	54%
Centers Plan For Healthy Living	$61 - $131	57%
Hamaspik	$61 - $101	57%
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%
Villagecare Max	$191 - $402	179%
Magnacare	$354	331%
Multiplan	$378	354%

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 $127.
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 Bellevue Hospital Center 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.