CMS Price Transparency Data

X-ray, lower back

Facility: Wellspan Chambersburg Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $374
Cash Discount Price: $724
vs. Medicare Baseline: 3.50x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Wellspan Chambersburg Hospital is $374. 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 3.50x the Medicare baseline. Located in 112 North Seventh Street, Chambersburg, PA.

Cash / Self-Pay

$724

Average discount available for prompt cash payment at this facility.

Insurance Median

$374

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: $374 (350%)

Cash: $724 (678% of Medicare)

Ins. Median: $374 (350% 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 350% of the Medicare baseline (a markup of 250%). 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
Medicaid / KanCare	$28 - $181	26%
Blue_Cross	$35 - $332	33%
Wellspan_Capital_Blue_Cross	$106	99%
Medicare (plans)	$110 - $143	103%
Aetna	$113 - $743	106%
Highmark	$166 - $489	155%
Performance_Blue	$489	458%
Upmc	$543 - $769	508%
United_Healthcare	$602	564%
Geisinger	$670	627%
Cigna	$674 - $745	631%
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 Chambersburg 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.