CMS Price Transparency Data

X-ray, lower back

Facility: Mary Washington Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $136
Cash Discount Price: $394
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Mary Washington Hospital is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $394. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.27x the Medicare baseline. Located in 1001 Sam Perry Boulevard, Fredericksburg, VA.

Cash / Self-Pay

$394

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

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: $394 (369%)

Insurance Median: $136 (127%)

Cash: $394 (369% of Medicare)

Ins. Median: $136 (127% 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.

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
Aetna	$77 - $288	72%
Blue Cross Blue Shield	$77 - $248	72%
Humana	$77 - $105	72%
Sentara	$77 - $213	72%
UnitedHealthcare	$77 - $180	72%
Molina	$80 - $109	75%
Kaiser	$82 - $112	77%
Innovation	$93 - $102	87%
Cf	$159 - $175	149%
Cigna	$275 - $344	257%
Medcost	$282	264%
PHCS	$288	270%

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 $394.
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 Mary Washington Hospital 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.