CMS Price Transparency Data

X-ray, lower back

Facility: Reston Hospital Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $304
Cash Discount Price: $1,486
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Reston Hospital Center is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,486. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.85x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$1,486

Average discount available for prompt cash payment at this facility.

Insurance Median

$304

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: $1,486 (1391%)

Insurance Median: $304 (285%)

Cash: $1,486 (1391% of Medicare)

Ins. Median: $304 (285% 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 285% of the Medicare baseline (a markup of 185%). 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
Blue Cross Blue Shield	$48 - $228	45%
Cigna	$228 - $239	213%
Carefirst	$234	219%
United	$245 - $678	229%
Lifeworks	$278 - $286	260%
Universal Healthcare Group	$322 - $331	301%
Greenvbrier Sporting Club	$879 - $904	823%
Virginia Health Network	$1,040 - $1,070	974%
Corvel	$1,055 - $1,085	988%
Occunet Workers Comp	$1,172 - $1,205	1097%
4Most Health Network	$1,318 - $1,356	1234%

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 $1,486.
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 Reston Hospital Center 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.