CMS Price Transparency Data

X-ray, lower back

Facility: UPMC Williamsport

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $565
Cash Discount Price: $710
vs. Medicare Baseline: 5.29x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at UPMC Williamsport is $565. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $710. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.29x the Medicare baseline. Located in 700 High Street, Williamsport, PA.

Cash / Self-Pay

$710

Average discount available for prompt cash payment at this facility.

Insurance Median

$565

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: $710 (665%)

Insurance Median: $565 (529%)

Cash: $710 (665% of Medicare)

Ins. Median: $565 (529% 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 529% of the Medicare baseline (a markup of 429%). 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
UnitedHealthcare	$29 - $810	27%
Geisinger	$40 - $793	37%
Upmc Health Plan	$40 - $516	37%
Amerihealth Caritas	$41 - $104	38%
Highmark Wholecare (Prev Gateway)	$51 - $109	48%
Pa Health & Wellness	$62 - $109	58%
Blue Cross Blue Shield	$102 - $555	95%
Aetna	$104 - $781	97%
Upmc Work Partners	$128	120%
Three Rivers Provider Network	$136 - $1,066	127%
Multiplan	$141 - $924	132%
Coventry/First Health	$593 - $797	555%
Wirerope Works	$658	616%
Cigna	$811	759%
America'S Choice	$947	887%
Intergroup	$947	887%

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 $710.
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 UPMC Williamsport 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.