CMS Price Transparency Data

X-ray, lower back

Facility: Mid-Columbia Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $124
  • Cash Discount Price: $176
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mid-Columbia Medical Center is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$176

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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: $176 (165%)
Insurance Median: $124 (116%)
Cash: $176 (165% of Medicare)
Ins. Median: $124 (116% 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
Blue Cross Blue Shield $12 - $2,209 11%
Community Hp Mcr Adv - All Plans $12 - $124 11%
Molina Mcr Adv $12 - $124 11%
Tricare $12 - $124 11%
Va Ccn Triwest - All Plans $12 - $124 11%
Devoted Mcr Adv - All Plans $13 - $748 12%
Healthnet Mcr Adv $13 - $127 12%
Humana $13 - $131 12%
Moda Mcr Adv $13 - $124 12%
Employee Health Plan - All Plans $14 - $224 13%
Molina - All Other Plans $14 - $137 13%
Aetna $15 - $640 14%
Healthnet - All Other Plans $18 17%
Cigna $21 - $653 20%
Molina Mcaid $21 - $360 20%
Multiplan/Phcs - All Plans $21 - $658 20%
Coventry - All Plans $23 - $624 22%
First Choice - All Plans $23 - $658 22%
Providence Ppo - All Plans $24 - $658 22%
Moda Health Plan - All Other Plans $26 - $457 24%
Amerigroup Mcaid - All Plans $40 - $360 37%
Coordinated Care Mcaid - All Plans $40 - $360 37%
Norocor - All Plans $346 324%
UnitedHealthcare $360 - $658 337%
Healthscape - All Plans $554 519%
First Health - All Plans $617 578%
Pacific Source - All Plans $638 597%
Trpn - Three Rivers - All Plans $658 616%
Ahp - Americas Hlth Plan - All Plans $672 629%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals