CMS Price Transparency Data

X-ray, lower back

Facility: Trios Health

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $222
  • Cash Discount Price: $651
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Trios Health is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $651. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.
Cash / Self-Pay
$651

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: $651 (609%)
Insurance Median: $222 (208%)
Cash: $651 (609% 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.

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
Community Health Plan Of Washington $38 36%
Molina Healthcare Of Washington $38 - $182 36%
Coordinated Care Of Washington Inc $39 37%
Wellpoint Washington, Inc. $40 37%
Ods Community Health Inc $87 81%
Aetna $113 - $807 106%
UnitedHealthcare $113 - $455 106%
Humana $119 111%
Kfhp Of Wa Options, Inc $222 208%
Blue Cross Blue Shield $289 271%
Cigna $1,014 - $1,084 949%
Ods Health Plan Inc $1,384 1296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3780 Plaza Way, Kennewick, WA 99338
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals