CMS Price Transparency Data
X-ray, lower back
Facility: Legacy Good Samaritan Medical Center
Billing Code: 72110 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$159
about 1.5× the $107 Medicare rate · typically $132–$189
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $159 Cash price $72 Hospital's list price $110
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $316 - $463 | 296% |
| Aetnamajor | $69 - $122 | 65% |
| Cignamajor | $304 | 285% |
| Kaiser Permanentemajor | $116 - $232 | 109% |
| Health Net | $123 - $235 | 115% |
| Moda Health | $130 - $449 | 122% |
| PacificSource | $86 - $196 | 81% |
| + 3 smaller / regional plans | $120 - $128 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Legacy Good Samaritan Medical Center
Compare: X-ray, lower back at other OR hospitals
- Mid-Columbia Medical Center · The Dalles $23
- Good Samaritan Regional Medical Center · Corvallis $49
- Samaritan Albany General Hospital · Albany $49
- Samaritan North Lincoln Hospital · Lincoln City $49
- Samaritan Pacific Community Hospital · Newport $49
- Samaritan Lebanon Community Hospital · Lebanon $49
- Southern Coos Hospital & Health Center · Bandon $74
- Bay Area Hospital · Coos Bay $80
Insurance negotiated median for the same procedure, sorted lowest first.