CMS Price Transparency Data

X-ray, lower back

Facility: UPMC Memorial

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $200
Cash Discount Price: $263
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at UPMC Memorial is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 1701 Innovation Drive, York, PA.

Cash / Self-Pay

$263

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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: $263 (246%)

Insurance Median: $200 (187%)

Cash: $263 (246% of Medicare)

Ins. Median: $200 (187% 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.

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 - $322	27%
Amerihealth Caritas	$47	44%
Highmark Wholecare (Prev Gateway)	$47	44%
Blue Cross Blue Shield	$48 - $359	45%
Upmc Health Plan	$48 - $307	45%
Health Partners Plans (Jefferson Health Plan)	$50	47%
Geisinger	$53 - $316	50%
Prime Net	$72 - $326	67%
Keystone Health Plan	$88 - $231	82%
Aetna	$106 - $249	99%
Cigna	$107 - $589	100%
Premier Comp Solutions	$126	118%
Upmc Work Partners	$126	118%
Keystone Autism Services	$163	153%
Wellspan Population Health	$307	287%
Multiplan	$372	348%

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 $263.
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 Memorial 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.