CMS Price Transparency Data

X-ray, lower back

Facility: Wellspan Waynesboro Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $204
Cash Discount Price: $724
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Wellspan Waynesboro Hospital is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $724. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.91x the Medicare baseline. Located in 501 East Main St, Waynesboro, PA.

Cash / Self-Pay

$724

Average discount available for prompt cash payment at this facility.

Insurance Median

$204

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: $724 (678%)

Insurance Median: $204 (191%)

Cash: $724 (678% of Medicare)

Ins. Median: $204 (191% 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
Medicaid / KanCare	$32 - $187	30%
Medicare (plans)	$38 - $142	36%
Wellspan_Capital_Blue_Cross	$106	99%
Highmark	$113 - $435	106%
Aetna	$117 - $668	110%
Blue_Cross	$220 - $315	206%
Upmc	$543	508%
United_Healthcare	$602	564%
Cigna	$663 - $753	621%
Geisinger	$670	627%
First_Health_Network	$860	805%

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 $724.
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 Wellspan Waynesboro Hospital 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.