CMS Price Transparency Data

X-ray, lower back

Facility: Cody Regional Health

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $291
Cash Discount Price: $335
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Cody Regional Health is $291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.72x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$335

Average discount available for prompt cash payment at this facility.

Insurance Median

$291

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: $335 (314%)

Insurance Median: $291 (272%)

Cash: $335 (314% of Medicare)

Ins. Median: $291 (272% 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 272% of the Medicare baseline (a markup of 172%). 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
Medica Comm - All Other Plans	$12 - $570	11%
Tricare	$13 - $291	12%
Mountain Health - All Plans	$20 - $570	19%
Blue Cross Blue Shield	$61 - $602	57%
Pacific Source - All Plans	$78 - $570	73%
Christian Hlthcare - All Plans	$124 - $507	116%
Cigna	$140 - $503	131%
First Choice Health - All Plans	$140 - $570	131%
Humana	$140 - $589	131%
Interwest Health Ppo - All Plans	$143 - $583	134%
First Health Ntwrk-All Plans	$144 - $589	135%
Three Rivers - All Plans	$147 - $602	138%
UnitedHealthcare	$147 - $589	138%
Rocky Mtn Admin - All Plans	$570	534%

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 $335.
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 Cody Regional Health 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.