CMS Price Transparency Data

X-ray, lower back

Facility: Community Memorial Hospital, Inc

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$111

about 1.0× the $107 Medicare rate · typically $59–$227

modeled estimate · not a bill or quote

What this hospital charges insurers

$163

Above the fair price

about $52 over the fair price · 1.5× Medicare

Medicare pays $107 Fair price $111 This hospital $163 Cash price $290 Hospital's list price $363

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $27 Priciest $163

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $111 (about 1.0× the $107 Medicare rate). Community Memorial Hospital, Inc charges insurers about $163, or about $290 in cash — above the fair price. Located in Hamilton, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $111. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$113 - $173	106%
Blue Cross Blue Shieldmajor	$113 - $207	106%
Aetnamajor	$178	167%
Cignamajor	$166	155%
Humanamajor	$163	153%
CDPHP	$168	157%
Fidelis Care	$92 - $113	86%
MVP Health Care	$163	153%
+ 3 smaller / regional plans	$163

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 290), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72110.

Insurance Before you use insurance

Call your insurance company to confirm Community Memorial Hospital, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 72110.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Community Memorial Hospital, Inc

Compare: X-ray, lower back at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.