CMS Price Transparency Data

X-ray, lower back

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $57
Cash Discount Price: $187
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Chan Soon- Shiong Medical Center at Windber is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.53x the Medicare baseline. Located in 600 Somerset Avenue, Windber, PA.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $187 (175%)

Insurance Median: $57 (53%)

Cash: $187 (175% of Medicare)

Ins. Median: $57 (53% 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
Amerihealth Caritas	$24 - $100	22%
Geisinger	$24 - $168	22%
Highmark Wholecare	$26	24%
Upmc Health Plan	$26 - $137	24%
Pa Health & Wellness	$27 - $100	25%
United	$34 - $162	32%
Highmark	$38 - $200	36%
Aetna	$49 - $112	46%
Humana	$49 - $100	46%
Cigna	$50 - $132	47%
Senior Life	$50 - $102	47%
Va Ccn	$50 - $102	47%

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 $187.
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 Chan Soon- Shiong Medical Center at Windber 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.