CMS Price Transparency Data

X-ray, lower back

Facility: Hospital San Francisco

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $25
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Hospital San Francisco is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.23x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $28 (26%)
Insurance Median: $25 (23%)
Cash: $28 (26% of Medicare)
Ins. Median: $25 (23% 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
First Medical $13 - $21 12%
Triple S $13 - $34 12%
Mso $16 - $25 15%
Acaa $17 16%
Aarp $19 18%
Humana $21 - $25 20%
Western Medical Hospice $21 20%
Auxilio Platino $23 22%
Plan De Salud Menonita $23 - $26 22%
Pr Other Insurances $23 22%
Mapfre $24 22%
Mc $24 22%
Mcs $24 - $26 22%
Fondo Del Seguro Estado $25 23%
Medicare (plans) $25 23%
Tricare $25 23%
Va $25 23%
Comerciales $28 26%
Cigna $31 29%
Bl $33 31%
Ch $36 34%
Mpc - Us $36 34%
UnitedHealthcare $36 34%
Us $36 34%
Medicaid / KanCare $41 38%
Prossam $41 38%
Corvel Network $46 43%
Mpc-Pr Other Insurances $46 43%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals