CMS Price Transparency Data

X-ray, lower back

Facility: Prosser Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $99
Cash Discount Price: $65
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Prosser Memorial Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.93x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$99

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: $65 (61%)

Insurance Median: $99 (93%)

Cash: $65 (61% of Medicare)

Ins. Median: $99 (93% 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
Community Health Plan Of Washington	$7 - $219	7%
Coordinated Care	$7 - $219	7%
Kaiser Permanente	$7 - $493	7%
Molina	$7 - $219	7%
UnitedHealthcare	$7 - $434	7%
Amerigroup	$8 - $233	7%
Aetna	$14 - $461	13%
Health Alliance Northwest	$14 - $136	13%
Humana	$14 - $461	13%
Wellcare	$14 - $136	13%
Premera	$17 - $434	16%
Cigna	$19 - $444	18%
Asuris	$22 - $488	21%
Health Management Adminstrators	$22 - $488	21%
Regence	$22 - $488	21%
Ambetter / Centene	$26 - $417	24%
Multiplan	$99 - $488	93%
First Choice	$461	432%

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 $65.
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 Prosser 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.