CMS Price Transparency Data

X-ray, lower back

Facility: Mary Bridge Children's Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $549
Cash Discount Price: $508
vs. Medicare Baseline: 5.14x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Mary Bridge Children's Hospital is $549. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $508. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.14x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$508

Average discount available for prompt cash payment at this facility.

Insurance Median

$549

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: $508 (476%)

Insurance Median: $549 (514%)

Cash: $508 (476% of Medicare)

Ins. Median: $549 (514% 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 514% of the Medicare baseline (a markup of 414%). 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
Molina	$40 - $219	37%
Community Health Plan Of Washington	$44 - $130	41%
Coordinated Care	$44	41%
UnitedHealthcare	$44 - $971	41%
Wellpoint	$44	41%
Aetna	$122 - $727	114%
Regence	$122 - $596	114%
Wellcare	$124	116%
Ambetter / Centene	$144	135%
Premera	$200 - $505	187%
Pacificsource	$460 - $464	431%
Uniform Medical	$592	554%
First Choice	$735 - $1,090	688%
First Health	$902 - $1,128	844%
Multiplan/Phcs	$902 - $1,128	844%
Cigna	$918 - $1,177	859%
Kaiser	$1,031	965%

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 $508.
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 Mary Bridge Children's 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.