CMS Price Transparency Data

X-ray, lower back

Facility: Island Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $222
Cash Discount Price: $560
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Island Hospital is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$560

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $560 (524%)

Insurance Median: $222 (208%)

Cash: $560 (524% of Medicare)

Ins. Median: $222 (208% 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 208% of the Medicare baseline (a markup of 108%). 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
Regence Comm - All Other Plans	$22 - $440	21%
Molina Mcaid - All Plans	$38 - $205	36%
Amerigroup Mcaid - All Plans	$40 - $216	37%
Coordinated Care Mcaid - All Plans	$44 - $236	41%
Chpw Mcaid - All Plans	$46 - $226	43%
Aarp Mcr Adv - All Plans	$192 - $211	180%
Humana	$192 - $499	180%
Samish Indian Health - All Plans	$192	180%
Swinomish Indian Health - All Plans	$192	180%
Tricare	$192	180%
UnitedHealthcare	$192 - $499	180%
Aetna	$201 - $558	188%
Premera Mcr Adv	$201	188%
Regence Mcr Adv	$203	190%
Kaiser Mcr Adv	$211	198%
Premera Comm - All Other Plans	$352	330%
Cigna	$426 - $470	399%
First Choice - All Plans	$452	423%
First Health - All Plans	$452 - $499	423%
Multiplan - All Plans	$452 - $499	423%

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 $560.
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 Island 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.