CMS Price Transparency Data

X-ray, lower back

Facility: Snoqualmie Valley Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $169
Cash Discount Price: $313
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Snoqualmie Valley Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $313. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.58x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$313

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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: $313 (293%)

Insurance Median: $169 (158%)

Cash: $313 (293% of Medicare)

Ins. Median: $169 (158% 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 Wa Mcd Rep	$31 - $437	29%
Medicaid / KanCare	$31 - $437	29%
UnitedHealthcare	$31 - $862	29%
Amerigroup Wellpoint	$33 - $464	31%
Washington Coordinated Care	$34 - $472	32%
Molina Healthcare Of Washington Mcd Rep	$35 - $472	33%
Aetna	$60 - $544	56%
Humana	$60 - $399	56%
Blue Shield Of Wa Regence Mcr Adv	$62 - $399	58%
Community Health Plan Of Wa	$62 - $403	58%
Medicare (plans)	$62 - $395	58%
Molina Healthcare Of Washington Mcr Adv	$62 - $395	58%
Molina Healthcare Of Washington	$64 - $403	60%
First Choice Health Network	$68 - $656	64%
Blue Cross Blue Shield	$71 - $562	66%
Blue Shield Of Wa Regence	$71 - $225	66%
Kaiser Foundation Health Plan Of The Northwest	$89 - $590	83%
Cigna	$113 - $750	106%

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 $313.
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 Snoqualmie 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.