CMS Price Transparency Data

X-ray, lower back

Facility: Woodlawn Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $177
  • Cash Discount Price: $586
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Woodlawn Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $586. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.
Cash / Self-Pay
$586

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $586 (549%)
Insurance Median: $177 (166%)
Cash: $586 (549% of Medicare)
Ins. Median: $177 (166% 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
Blue Cross Blue Shield $23 - $626 22%
Caresource Mcaid Hww $23 22%
Mdwise Excel Hhw & Hcc $23 22%
Mhs Mcaid Hcc $23 22%
Mhs Mcaid Hhw $23 22%
UnitedHealthcare $23 - $594 22%
Aetna $172 - $742 161%
Caresource Mcaid Hip $172 161%
Caresource Mcr Adv $172 161%
Humana $172 - $606 161%
Mdwise Mcaid Excel Hip $172 161%
Mhs Exch Mrktplce-All Other Plans $172 161%
Mhs Mcaid Hip $172 161%
Mhs Mcr Adv $175 164%
Caresource Exch - All Other Plans $223 209%
Ambetter / Centene $229 214%
Partners Direct Health-All Plans $531 497%
Cigna $559 - $664 523%
Parkview Health Plans-All Plans $586 549%
Sagamore All Other Grps - All Other Plans $656 614%
Encore Comm-All Plans $664 622%
Phcs/Multiplan-All Plans $726 680%
Community Health Alliance-All Plans $742 695%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 E 9Th St, Rochester, IN 46975
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals