CMS Price Transparency Data

X-ray, lower back

Facility: Brattleboro Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $86
Cash Discount Price: $664
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Brattleboro Memorial Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $664. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.81x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$664

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $664 (622%)

Insurance Median: $86 (81%)

Cash: $664 (622% of Medicare)

Ins. Median: $86 (81% 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
Amerihealth-Caritas	$11 - $82	10%
New Hampshire Healthy Families	$11 - $82	10%
Wellsense	$11 - $109	10%
Blue Cross Blue Shield	$12 - $854	11%
Cigna	$12 - $901	11%
Harvard Pilgrim Health Care	$12 - $825	11%
Martin'S Point	$12 - $102	11%
Mvp Healthcare	$12 - $854	11%
New Hampshire Healthy Families (Wellcare)	$13 - $107	12%
Tufts Health Plan	$37 - $868	35%
Vermont Health Plan	$48 - $849	45%
UnitedHealthcare	$71 - $901	66%
Humana	$102	95%
Multiplan	$112 - $920	105%
Aetna	$920	861%
Coventry	$920	861%
Health New England	$920	861%

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 $664.
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 Brattleboro Memorial 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.