CMS Price Transparency Data
X-ray, lower back
Facility: St Mary Medical Center
Billing Code: 72110 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$53
about 0.5× the $107 Medicare rate · typically $17–$110
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $53 Hospital's list price $314
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $13 - $291 | 12% |
| Blue Cross Blue Shieldmajor | $13 - $305 | 12% |
| Aetnamajor | $13 - $535 | 12% |
| Cignamajor | $13 - $153 | 12% |
| Humanamajor | $12 - $24 | 11% |
| Kaiser Permanentemajor | $17 | 16% |
| Ambetter (Centene) | $14 - $201 | 13% |
| AmeriHealth | $17 - $170 | 16% |
| Clover Health | $13 | 12% |
| GEHA | $19 - $245 | 18% |
| Health Net | $14 - $15 | 13% |
| HealthPartners | $14 - $17 | 13% |
| Meridian | $13 - $14 | 12% |
| Molina | $14 | 13% |
| Oscar Health | $19 - $203 | 18% |
| Paramount | $14 | 13% |
| Presbyterian | $13 - $14 | 12% |
| Tufts Health Plan | $14 | 13% |
| UPMC Health Plan | $153 | 143% |
| WellMed | $13 | 12% |
| WellSense | $14 | 13% |
| + 338 smaller / regional plans | $10 - $254 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 17 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St Mary Medical Center
Compare: X-ray, lower back at other PA hospitals
- Reading Hospital · West Reading $29
- Jefferson Abington Hospital · Abington $34
- Children's Hospital of Philadelphia · Philadelphia $34
- UPMC Altoona · Altoona $35
- Penn Highlands Connellsville · Connellsville $37
- Pottstown Hospital · Pottstown $38
- UPMC Wellsboro · Wellsboro $40
- UPMC Muncy · Muncy $41
Insurance negotiated median for the same procedure, sorted lowest first.