CMS Price Transparency Data

X-ray, lower back

Facility: Jefferson Lansdale Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $96
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Jefferson Lansdale Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $121 (113%)
Insurance Median: $96 (90%)
Cash: $121 (113% of Medicare)
Ins. Median: $96 (90% 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
Keystone First $28 - $45 26%
Pa Health_Wellness Chc $29 - $48 27%
Medicaid / KanCare $30 - $50 28%
Aetna $39 - $136 37%
Jab Health Partners $42 39%
Ibc $54 - $604 51%
Blue Cross Blue Shield $70 66%
Jefferson Health Plan Aca Qhp Exchange $90 84%
St Agnes $92 86%
Innovage $94 88%
Inspira Life $94 88%
Medicare (plans) $94 - $108 88%
Point Of Comfort Refugee Resettlement $94 88%
Provider Partners Health Plan $94 88%
Tricare $94 88%
UnitedHealthcare $94 - $230 88%
Humana $96 90%
Cigna $98 - $120 92%
Devoted Health Participation $99 93%
Keystone First Vip Choice $101 95%
Allwell Pa Health_Wellness Ma $104 97%
Perennial $109 102%
Highmark Wholecare Gateway $110 103%
Ibc Employee Benefit $118 110%
Ibc Main Line Health $118 110%
Upmc Commercial $120 112%
Ambetter / Centene $137 128%
Naphcare $151 141%
Geisinger Health Plan $384 360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Medical Campus Drive, Lansdale, PA 19446
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals