CMS Price Transparency Data

X-ray, lower back

Facility: St Christopher's Hospital for Children

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $280
Cash Discount Price: $1,117
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at St Christopher's Hospital for Children is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,117. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.62x the Medicare baseline. Located in 160 East Erie Ave, Philadelphia, PA.

Cash / Self-Pay

$1,117

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

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: $1,117 (1046%)

Insurance Median: $280 (262%)

Cash: $1,117 (1046% of Medicare)

Ins. Median: $280 (262% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 262% of the Medicare baseline (a markup of 162%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Geisinger	$27 - $1,005	25%
Amerihealth Caritas	$28	26%
Pa Health & Wellness	$30	28%
UnitedHealthcare	$34 - $168	32%
Aetna	$39 - $1,676	37%
Upmc	$40	37%
Keystone First	$43	40%
Gateway	$50	47%
Health Partners	$54 - $501	51%
Horizon Nj Health	$56	52%
Blue Cross Blue Shield	$89 - $1,212	83%
Cigna	$92	86%
Wellpoint Nj (Formerly Amerigroup)	$592	554%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,117.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Christopher's Hospital for Children is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.