CMS Price Transparency Data
X-ray, lower back
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 72110 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$58
about 0.5× the $107 Medicare rate · typically $13–$117
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $58 Hospital's list price $323
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 | $10 - $593 | 9% |
| Blue Cross Blue Shieldmajor | $10 - $525 | 9% |
| Aetnamajor | $10 - $585 | 9% |
| Cignamajor | $10 - $581 | 9% |
| Humanamajor | $10 - $544 | 9% |
| Ambetter (Centene) | $10 - $185 | 9% |
| Clover Health | $12 | 11% |
| Dean Health Plan | $556 | 521% |
| GEHA | $585 - $593 | 548% |
| Health Net | $10 - $519 | 9% |
| HealthPartners | $10 - $482 | 9% |
| Meridian | $10 - $185 | 9% |
| Moda Health | $242 - $599 | 227% |
| Molina | $10 - $185 | 9% |
| PacificSource | $91 - $581 | 85% |
| Paramount | $10 - $556 | 9% |
| Presbyterian | $10 - $185 | 9% |
| Priority Health | $581 | 544% |
| SelectHealth | $178 - $556 | 167% |
| Tufts Health Plan | $10 - $185 | 9% |
| WellMed | $12 | 11% |
| WellSense | $10 - $185 | 9% |
| + 168 smaller / regional plans | $10 - $587 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Saint Alphonsus Medical Center Ontario
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.