CMS Price Transparency Data

X-ray, lower back

Facility: Saratoga Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $53
Cash Discount Price: $456
vs. Medicare Baseline: 0.50x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Saratoga Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $456. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.50x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.

Cash / Self-Pay

$456

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $456 (427%)

Insurance Median: $53 (50%)

Cash: $456 (427% of Medicare)

Ins. Median: $53 (50% 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
Aetna	$16 - $571	15%
Cdphp	$33 - $126	31%
Blue Cross Blue Shield	$36 - $700	34%
Fidelis	$36 - $126	34%
Medicaid / KanCare	$36 - $47	34%
Medicare (plans)	$36 - $48	34%
Blue Shield	$42 - $169	39%
Mvp	$42 - $80	39%
UnitedHealthcare	$44 - $1,049	41%
Hamaspik	$45 - $171	42%
Tricare	$46 - $48	43%
Emblem Health Ghi	$48 - $53	45%
Mvp Essential Plan	$54 - $109	51%
Mvp Govt Programs	$54	51%
Blue Shield Highmark	$56 - $132	52%
Cigna	$66 - $80	62%
Nascentia Health Options	$75	70%
Emblem	$77 - $126	72%
Mvp Commercial	$99 - $816	93%
Empire Plan Nyship	$547 - $700	512%
Multiplan	$683 - $991	639%
Magnacare	$820 - $1,108	768%

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 $456.
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 Saratoga Hospital 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.