CMS Price Transparency Data

X-ray, lower back

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $62
  • Cash Discount Price: $505
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Cameron Memorial Community Hospital Inc is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $505. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.58x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.
Cash / Self-Pay
$505

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $505 (473%)
Insurance Median: $62 (58%)
Cash: $505 (473% of Medicare)
Ins. Median: $62 (58% 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 - $526 22%
Caresource Indiana Of In $23 - $310 22%
Managed Health Services $23 - $47 22%
Mdwise $23 - $47 22%
UnitedHealthcare $34 - $663 32%
Aetna $35 - $727 33%
Cigna $35 - $726 33%
Corvel $35 - $783 33%
Encore $35 - $775 33%
Humana $35 - $727 33%
Phcs $35 - $631 33%
Plain Church Group Ministry $35 - $328 33%
Sagamore Health Network $35 - $650 33%
Coventry $42 - $741 39%
Lucent $49 - $458 46%
Centivo $54 - $458 51%
Php $61 - $638 57%
Signature Care $61 - $741 57%
Frontpath $62 - $774 58%
Three Rivers Preferred $70 - $7,000 66%
Lutheran Preferred $74 - $757 69%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 416 E Maumee St, Angola, IN 46703
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals