CMS Price Transparency Data

X-ray, lower back

Facility: St Marys Rehabilitation Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$109
about 1.0× the $107 Medicare rate · typically $45–$258
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $109 Cash price $569 Hospital's list price $569

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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $569 533%
Aetnamajor $569 533%
Cignamajor $569 533%
Humanamajor $569 533%
Ambetter (Centene) $569 533%
+ 11 smaller / regional plans $569
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1208 Langhorne Newtown Rd, Langhorne, PA 19047
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL