CMS Price Transparency Data

X-ray, lower back

Facility: Intermountain Health Sevier Valley Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $587
  • Cash Discount Price: $463
  • vs. Medicare Baseline: 5.50x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Intermountain Health Sevier Valley Hospital is $587. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $463. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.50x the Medicare baseline. Located in 1000 North Main Street, Richfield, UT.
Cash / Self-Pay
$463

Average discount available for prompt cash payment at this facility.

Insurance Median
$587

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: $463 (433%)
Insurance Median: $587 (550%)
Cash: $463 (433% of Medicare)
Ins. Median: $587 (550% 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 550% of the Medicare baseline (a markup of 450%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $12 - $593 11%
American Health $12 - $118 11%
Health Partners Of Nevada $12 - $113 11%
Health Plan Of Nevada $12 - $550 11%
Healthy U $12 - $550 11%
Humana $12 - $587 11%
Molina $12 - $587 11%
Selecthealth $12 - $587 11%
UnitedHealthcare $12 - $587 11%
Triwest $102 95%
Awh Connected $328 - $593 307%
Blue Cross Blue Shield $328 - $587 307%
Byu Athletics $328 - $587 307%
Campbell Scientific $328 - $587 307%
Cigna $328 - $587 307%
Deseret Mutual $328 - $587 307%
Emi $328 - $587 307%
Emi Health $328 - $587 307%
Franklin County $328 - $587 307%
Health Utah $328 - $587 307%
Ifit $328 - $587 307%
Juniper Systems $328 - $587 307%
Lw Miller $328 - $587 307%
Managed Care Admin $328 - $587 307%
Motivhealth $328 - $587 307%
Pehp $328 - $587 307%
Prodegi Corp Benefit $328 - $587 307%
Tanner Llc $328 - $587 307%
Utah Tech $328 - $587 307%
Wise Network $328 - $587 307%
Injury Care Of Nevada $463 433%
Byu Risk Management $525 492%
Corporation Of The President $525 492%
Corvel Corporation $525 492%
Wcf Insurance $525 492%
Global Excel $587 550%
Hygeia Corporation $587 550%
Medcare International $587 550%
Springtide $587 550%
Uofu $587 550%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 North Main Street, Richfield, UT 84701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals