CMS Price Transparency Data

X-ray, lower back

Facility: Multicare Valley Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $242
Cash Discount Price: $434
vs. Medicare Baseline: 2.27x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Multicare Valley Hospital is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $434. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.27x the Medicare baseline. Located in 12606 East Mission Avenue, Spokane Valley, WA.

Cash / Self-Pay

$434

Average discount available for prompt cash payment at this facility.

Insurance Median

$242

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: $434 (406%)

Insurance Median: $242 (227%)

Cash: $434 (406% of Medicare)

Ins. Median: $242 (227% 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 227% of the Medicare baseline (a markup of 127%). 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
Coordinated Care	$39	37%
Molina	$39 - $219	37%
Wellpoint	$39	37%
UnitedHealthcare	$40 - $329	37%
Community Health Plan Of Washington	$41 - $187	38%
Blue Cross Blue Shield	$111	104%
Aetna	$115 - $397	108%
Regence	$115	108%
Wellcare	$117	110%
Premera	$189 - $291	177%
Ambetter / Centene	$206	193%
Regence/Asuris	$242	227%
Cigna	$269	252%
Pacificsource	$290 - $344	272%
First Choice	$416 - $756	389%
Kaiser	$568	532%
First Health	$780	730%
Multiplan/Phcs	$780	730%

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 $434.
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 Multicare Valley 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.