CMS Price Transparency Data

X-ray, lower back

Facility: Intermountain Health Garfield Memorial 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 Garfield Memorial 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 200 North 400 East, Panguitch, 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%
Health Choice Utah $12 - $550 11%
Healthy U $12 - $550 11%
Medicare (plans) $12 - $235 11%
Molina $12 - $587 11%
Molina Healthcare Of Utah $12 - $587 11%
Selecthealth $12 - $587 11%
Triwest $12 - $318 11%
Uofu $12 - $587 11%
Tricare $268 - $318 251%
Byu Athletic Department $328 - $587 307%
Campbell Scientific $328 - $587 307%
Cigna $328 - $587 307%
Deseret Mutual $328 - $587 307%
Emi Health $328 - $587 307%
Franklin County $328 - $587 307%
Health Utah $328 - $587 307%
Juniper Systems $328 - $587 307%
Lw Miller $328 - $587 307%
Managed Care Administrators, Inc. $328 - $587 307%
Motivhealth $328 - $587 307%
Pehp $328 - $587 307%
Prodegi Corporate Benefit Services, Llc $328 - $587 307%
Tanner Llc $328 - $587 307%
Utah State University $328 - $587 307%
Utah Tech University $328 - $587 307%
Wise $328 - $587 307%
UnitedHealthcare $507 - $519 475%
Blue Cross Blue Shield $587 550%
Hygeia Corporation $587 550%
Medcare International $587 550%
Springtide $587 550%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 North 400 East, Panguitch, UT 84759
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals