CMS Price Transparency Data

X-ray, lower back

Facility: Jefferson Healthcare

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $207
  • Cash Discount Price: $275
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Jefferson Healthcare is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.94x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.
Cash / Self-Pay
$275

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $275 (257%)
Insurance Median: $207 (194%)
Cash: $275 (257% of Medicare)
Ins. Median: $207 (194% 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.

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
Tricare $13 - $227 12%
Aetna $14 - $584 13%
Chpw Mcr Adv $14 - $245 13%
Medicare (plans) $15 - $232 14%
Molina Mcr Adv $15 - $227 14%
Molina Marketplace-All Other Plans $16 - $284 15%
Chpw Commercial-All Other Plans $19 - $552 18%
Coord Care Comm/Exchge-All Other Plans $21 - $584 20%
Regence-All Other Plans $29 - $487 27%
Chpw Mcaid $32 - $203 30%
Molina Mcaid $32 - $207 30%
Amerigroup Mcaid-All Plans $33 - $213 31%
Premera-All Plans $33 - $552 31%
Cigna $34 - $584 32%
Coord Care Mcaid Ip/Op Only $217 203%
UnitedHealthcare $363 340%
Coord Care Cascade Ip/Op Only $584 547%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 834 Sheridan Street, Port Townsend, WA 98368
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals