CMS Price Transparency Data

X-ray, lower back

Facility: Excela Health - Frick Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $113
  • Cash Discount Price: $224
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Excela Health - Frick Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$224

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $224 (210%)
Insurance Median: $113 (106%)
Cash: $224 (210% of Medicare)
Ins. Median: $113 (106% 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
Upmc For Kids Chip $34 32%
Geisinger $44 - $112 41%
Health Partners Plans $44 41%
Highmark Wholecare $45 - $116 42%
Upmc $47 - $115 44%
Amerihealth Caritas $48 - $112 45%
Pa Health And Wellness $48 - $114 45%
Highmark Advantage Community Blue $99 93%
Senior Life $107 100%
Va $107 100%
Aetna $110 - $246 103%
Health Partners Plan $110 103%
Martin'S Point $110 103%
Peak Health $110 - $251 103%
The Health Plan Of West Virginia $110 - $251 103%
Humana $111 104%
United $111 104%
Cigna $112 - $236 105%
Devoted $112 105%
American Health Plan Of Pa $117 110%
Provider Network Of America $117 - $298 110%
Provider Plan Partners Plan $117 110%
Upmc Health Plan $124 - $151 116%
Highmark Children'S Health Insurance Program $128 120%
Ambetter / Centene $134 125%
Highmark $145 - $236 136%
Velocity $160 150%
Community Blue $212 198%
UnitedHealthcare $272 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals