CMS Price Transparency Data

X-ray, lower back

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $151
Cash Discount Price: $454
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Independence Health System Butler Memorial Hospita is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $454. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.41x the Medicare baseline. Located in One Hospital Way, Butler, PA.

Cash / Self-Pay

$454

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $454 (425%)

Insurance Median: $151 (141%)

Cash: $454 (425% of Medicare)

Ins. Median: $151 (141% 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
Upmc	$34 - $680	32%
Medicaid / KanCare	$37	35%
UnitedHealthcare	$37 - $262	35%
Gateway	$38 - $680	36%
Amerihealth	$40 - $107	37%
Geisinger	$40 - $648	37%
Jefferson Health Plan	$40	37%
Aetna	$42 - $518	39%
Highmark	$100 - $216	94%
Life Butler County	$102	95%
Martin'S Point - Usfhp	$102 - $227	95%
Medicare (plans)	$102	95%
Peak Health	$102 - $454	95%
Provider Partners	$102	95%
Tricare	$102	95%
Humana	$106	99%
Devoted Health Plan	$108 - $259	101%
The Health Plan	$108 - $240	101%
Pa Health & Wellness	$109	102%
American Health Plan	$113	106%
Pnoa	$113 - $518	106%
Workers Comp	$113	106%
Highmark - Ind.& Managed Care	$121 - $240	113%
Highmark Aca - Direct Blue	$121 - $135	113%
Highmark Community Blue	$121 - $212	113%
Ccbh - Behavioral Health	$141 - $324	132%
Ellwood Group	$194 - $279	182%
Cigna	$234 - $324	219%
Private Healthcare Systems	$454 - $551	425%
Devon	$486	455%
Intergroup	$518	485%
Multiplan	$583	546%

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 $454.
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 Independence Health System Butler Memorial Hospita 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.