CMS Price Transparency Data

X-ray, lower back

Facility: Deaconess Illinois Crossroads

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $112
  • Cash Discount Price: $392
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Deaconess Illinois Crossroads is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $392. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.05x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$392

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $392 (367%)
Insurance Median: $112 (105%)
Cash: $392 (367% of Medicare)
Ins. Median: $112 (105% 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
Aetna $19 - $1,409 18%
Blue Cross Blue Shield $19 - $847 18%
Meridian Health Plan $19 - $111 18%
Molina Healthcare Of Illinois $19 - $112 18%
Wellcare $19 - $111 18%
UnitedHealthcare $33 - $1,034 31%
Humana $35 - $1,391 33%
Mytru Advantage $35 - $111 33%
Umwa $35 - $111 33%
Deaconess Onecare $45 - $981 42%
Alliance Coal $48 - $183 45%
Self-Pay $55 - $392 51%
Alter-Net Medical Services, Inc. $56 - $624 52%
Noncontracted $56 - $177 52%
Cigna $61 - $694 57%
Care Improvement Plus $113 106%
Prime Health Services $118 - $1,338 110%
Guardian Resources, Inc. $133 - $1,498 125%
Healthcare'S Finest Network (Hfn) $134 - $1,516 125%
Medicalcontrol Network Solutions $134 - $1,516 125%
National Provider Network $134 - $1,516 125%
Three Rivers Provider Network $137 - $1,552 128%
Beech Street $139 - $1,569 130%
Hope Trust $316 - $624 296%
Wexford Health Sources $803 - $1,248 752%
Encore Prime/Elite/Elite + $979 - $1,011 917%
Encore Combined $1,088 - $1,124 1019%
Great West Healthcare Of Illinois $1,338 1253%
Multiplan - Primary Network - Phcs $1,400 1311%
Healthlink $1,427 - $1,516 1336%
Coventry Healthcare $1,502 1406%
First Health $1,502 1406%
Multiplan - Complementary Network $1,523 1426%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals