CMS Price Transparency Data

X-ray, lower back

Facility: McKenzie-Willamette Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $472
Cash Discount Price: $741
vs. Medicare Baseline: 4.42x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at McKenzie-Willamette Medical Center is $472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $741. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.42x the Medicare baseline. Located in 1460 G Street, Springfield, OR.

Cash / Self-Pay

$741

Average discount available for prompt cash payment at this facility.

Insurance Median

$472

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: $741 (694%)

Insurance Median: $472 (442%)

Cash: $741 (694% of Medicare)

Ins. Median: $472 (442% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 442% of the Medicare baseline (a markup of 342%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Pacificsource Hlthier Or	$91	85%
Pacificsource Mcaid	$91	85%
Trillium Mcaid-All Plans	$91	85%
Healthnet Mcd	$99	93%
Kaiser Mcr Adv	$117	110%
Healthnet Mcr Adv	$122	114%
Providence Hp Pebb	$233	218%
Kaiser Mcaid	$278	260%
Blue Cross Blue Shield	$327	306%
Pacificsource Individual	$617	578%
Healthnet Comm - All Other Plans	$632	592%
Pacificsource Non-Individ	$802	751%
Providence Hp - All Other Plans	$802	751%
Pacificsource Psn/Voyager - All Other Plans	$827	774%
Cigna	$855	800%
Aetna	$987	924%
UnitedHealthcare	$987	924%
Kaiser Comm - All Other Plans	$3,332	3120%

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 $741.
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 McKenzie-Willamette Medical 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.