CMS Price Transparency Data

X-ray, lower back

Facility: Chester County Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $161
  • Cash Discount Price: $423
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Chester County Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $423. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.51x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$423

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $423 (396%)
Insurance Median: $161 (151%)
Cash: $423 (396% of Medicare)
Ins. Median: $161 (151% 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.

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
Gateway $22 - $133 21%
Medicaid / KanCare $22 - $423 21%
Keystone First $29 27%
UnitedHealthcare $32 - $278 30%
Health Partners $45 - $423 42%
Healthamerica/Coventry $84 79%
Pgm - Regie De L'Assurance Maladie Quebec $97 91%
Cigna $104 - $423 97%
Hospice Vna $107 100%
Medicare (plans) $107 - $110 100%
Primecare Medical $107 100%
Tricare $107 100%
Va Medical Center $107 100%
Humana $111 104%
Devoted Health $113 106%
Pa Health And Wellness $113 - $177 106%
Aetna $114 - $166 107%
Clover Health Plan $114 107%
Mva Insurance $118 110%
Todays Option $118 110%
Keystone First Vip Choice $119 111%
Us Family Health Plan $124 116%
Preferred Health Care Eliance $131 123%
Pgm - Kuwait Defense $148 - $190 139%
Elap $153 143%
Ibc $153 - $253 143%
Keystone Hmo Proactive $153 143%
Qualcare $161 151%
Pgm - Chop $169 158%
Claims Watcher $172 - $193 161%
Oscar Health Plan $183 171%
Centivo $193 181%
Elap Services $200 187%
Highmark $221 207%
Pgm - Royal Embassy Of Saudi Arabia $254 238%
Pgm - Embassy Of Qatar $275 257%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $275 257%
Penn Global Medicine $285 267%
Pgm - Embassy Of The United Emirates/Ipc $296 277%
Pgm - Kuwait Health Division $338 316%
Pgm - Kuwait Oil $338 316%
Preferred Health Care $338 316%
Geisinger Health Plan $341 319%
Intergroup $360 337%
Olympus $371 347%
International Pfs $423 396%
Medrisk $423 396%
Not Adjusted $423 396%
Workers Compensation $423 396%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals