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

How we calculate the fair BaseRate →

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

Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals