CMS Price Transparency Data
X-ray, lower back
Facility: St Joe Mercy Hospital System Livonia
Billing Code: 72110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72110
- Insurance Median: $299
- Cash Discount Price: $308
- vs. Medicare Baseline: 2.80x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at St Joe Mercy Hospital System Livonia is $299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.80x the Medicare baseline. Located in 36475 Five Mile Road, Livonia, MI.
Cash / Self-Pay
$308
Average discount available for prompt cash payment at this facility.
Insurance Median
$299
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: $308 (288%)
Insurance Median: $299 (280%)
Cash: $308 (288% of Medicare)
Ins. Median: $299 (280% 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 280% of the Medicare baseline (a markup of 180%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $47 - $102 | 44% |
| Medicaid / KanCare | $57 - $58 | 53% |
| Bcn Domestic | $78 | 73% |
| Blue Benefit Administrators Of Massachusetts | $78 | 73% |
| Blue Care Network | $78 | 73% |
| Blue Distinction Transplant | $78 | 73% |
| Blue Shield - Ca | $78 | 73% |
| Blue Shield - Id (Regence) | $78 | 73% |
| Blue Shield - Ny Highmark Northeastern | $78 | 73% |
| Blue Shield - Ny Highmark Western | $78 | 73% |
| Blue Shield - Pa (Highmark) | $78 | 73% |
| Blue Shield - Wa (Regence) | $78 | 73% |
| Health Choices | $78 - $301 | 73% |
| Kaiser Domestic | $78 | 73% |
| Asr Health Benefits | $82 | 77% |
| Caresource | $82 | 77% |
| Hap | $82 - $291 | 77% |
| Varipro | $82 | 77% |
| Aetna | $102 - $208 | 95% |
| Blue Care Network Advantage | $102 | 95% |
| Hospice Of Michigan | $102 | 95% |
| Medicare (plans) | $102 - $109 | 95% |
| Align Senior Care | $104 | 97% |
| Angela Hospice | $104 | 97% |
| Priority Health | $107 - $119 | 100% |
| UnitedHealthcare | $107 - $304 | 100% |
| Cca - Zing Health | $110 | 103% |
| U Of M Health Plan | $113 | 106% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $117 | 110% |
| Wc Accident Fund | $134 | 125% |
| Wc Advantage | $134 | 125% |
| Wc Aig | $134 | 125% |
| Wc Allied | $134 | 125% |
| Wc Amerisure | $134 | 125% |
| Wc Amtrust | $134 | 125% |
| Wc Asu Risk Mgt | $134 | 125% |
| Wc Berkley Admin | $134 | 125% |
| Wc Broadspire | $134 | 125% |
| Wc Bunch & Associates | $134 | 125% |
| Wc Ccmsi | $134 | 125% |
| Wc Emc Insurance Company | $134 | 125% |
| Wc Esis | $134 | 125% |
| Wc Fcci | $134 | 125% |
| Wc Federated | $134 | 125% |
| Wc Gallagher Bassett | $134 | 125% |
| Wc Genex Care For Ohio | $134 | 125% |
| Wc Guard Insurance Company | $134 | 125% |
| Wc Hartford | $134 | 125% |
| Wc Liberty Mutual | $134 | 125% |
| Wc Meijers | $134 | 125% |
| Wc Michigan | $134 | 125% |
| Wc Mitchell Frankenmuth | $134 | 125% |
| Wc Pma | $134 | 125% |
| Wc Sedgwick | $134 | 125% |
| Wc Sentry | $134 | 125% |
| Wc Travelers | $134 | 125% |
| Wc Tristar | $134 | 125% |
| Wc Walmart | $134 | 125% |
| Wc Zurich | $134 | 125% |
| Geha | $135 - $304 | 126% |
| Luminare Health (Detroit) | $135 | 126% |
| Meritain | $135 | 126% |
| Molina Marketplace | $135 | 126% |
| Health Cost Solutions | $162 | 152% |
| Vitalcore | $162 | 152% |
| Wellpath | $162 | 152% |
| Acs Benefit Services | $202 | 189% |
| Allied Benefit Systems | $202 | 189% |
| Claimchoice Adminstrators | $202 | 189% |
| Consociate | $202 | 189% |
| Cypress Benefit Administrators | $202 | 189% |
| Forest County Potawatomi | $202 | 189% |
| Health Smart | $202 | 189% |
| Healthgram | $202 | 189% |
| Healthscope | $202 | 189% |
| Secureone Preferred United Plans | $202 | 189% |
| Sisco Benefits | $202 | 189% |
| The Health Plan | $202 | 189% |
| Trustmark Small Business Benefits | $202 | 189% |
| Unified Group Services | $202 | 189% |
| Webtpa | $202 | 189% |
| Employee Benefit Logistic | $234 | 219% |
| Health Partners | $291 | 272% |
| Tufts Health Plan | $291 | 272% |
| Cigna | $297 - $379 | 278% |
| Access Health | $301 | 282% |
| Acclaim | $301 | 282% |
| Administrative Concepts | $301 | 282% |
| Allegeant | $301 | 282% |
| Ameriben | $301 | 282% |
| American Family | $301 | 282% |
| American Healthcare Alliance | $301 | 282% |
| American National | $301 | 282% |
| American Republic | $301 | 282% |
| Amerihealth | $301 | 282% |
| Aultcare | $301 | 282% |
| Automated Benefit Services | $301 | 282% |
| Auxiant | $301 | 282% |
| Benefit Administrative Systems,Llc | $301 | 282% |
| Boon Chapman | $301 | 282% |
| Cam Administrative Services | $301 | 282% |
| Christian Brother Services | $301 | 282% |
| Christian Brothers Holy Cross | $301 | 282% |
| Comprehensive Benefits | $301 | 282% |
| Continental Life Insurance | $301 | 282% |
| Custom Benefit Administrators | $301 | 282% |
| Employee Benefit Concepts | $301 | 282% |
| Employee Benefit Management | $301 | 282% |
| Enterprise Group Planning | $301 | 282% |
| Freedom Life Insurance Company | $301 | 282% |
| Group Administrators | $301 | 282% |
| Group Marketing Services | $301 | 282% |
| Guardian | $301 | 282% |
| Health America | $301 | 282% |
| Healthcare Management Admin | $301 | 282% |
| Healthez | $301 | 282% |
| Humana | $301 | 282% |
| Insight | $301 | 282% |
| Intercare | $301 | 282% |
| Jfp Benefit Management | $301 | 282% |
| Jp Farley Corporation | $301 | 282% |
| Key Benefit Administrator | $301 | 282% |
| Liberty Union Life Assurance Co | $301 | 282% |
| Lucent Health | $301 | 282% |
| Luminare Health | $301 | 282% |
| Magnacare | $301 | 282% |
| Medben | $301 | 282% |
| Medcost | $301 | 282% |
| Medical Mutual | $301 | 282% |
| Mutual Health Services | $301 | 282% |
| Mutual Of Omaha | $301 | 282% |
| Ncas | $301 | 282% |
| Nippon Life Ins | $301 | 282% |
| Nova | $301 | 282% |
| Painters Union Insurance Fund | $301 | 282% |
| Physicians Mutual | $301 | 282% |
| Plumbers Local 98 Insurance Fund | $301 | 282% |
| Prairie States | $301 | 282% |
| Preferred One | $301 | 282% |
| Primary Physician Care | $301 | 282% |
| Professional Benefit Administrators | $301 | 282% |
| Siho Insurance Services | $301 | 282% |
| The Loomis Company | $301 | 282% |
| Unicare | $301 | 282% |
| Us Health And Life | $301 | 282% |
| Valenz | $301 | 282% |
| Western & Southern Financial Group | $301 | 282% |
| Wps | $301 | 282% |
| 1199 National Benefit Fund | $303 | 284% |
| Allied National Global Care | $303 | 284% |
| Asrm - Reliance Standard Life Insurance | $303 | 284% |
| Christian Care Ministry | $303 | 284% |
| Dean Health | $303 | 284% |
| Fallon Health | $303 | 284% |
| Family Life Insurance Company | $303 | 284% |
| Ghc Scw | $303 | 284% |
| Group Pension Administrators | $303 | 284% |
| International Benefit Administrators | $303 | 284% |
| Lifetime Benefit Solutions | $303 | 284% |
| Manhattan Life | $303 | 284% |
| Medi Share | $303 | 284% |
| Multiplan | $303 | 284% |
| Mvp | $303 | 284% |
| Pai | $303 | 284% |
| Pan-American Life | $303 | 284% |
| Paramount Hmo | $303 | 284% |
| Phcs | $303 | 284% |
| Trinity Health Share | $303 | 284% |
| First Health | $310 | 290% |
| Coventry | $379 | 355% |
| Prime Health Services | $379 | 355% |
| Three Rivers Provider Network | $427 | 400% |
| Carelon Behavioral Health | $474 | 444% |
| Cmh Detroit Wayne Integrated Health Network | $474 | 444% |
| Cmh Lenawee County | $474 | 444% |
| Cmh Livingston County | $474 | 444% |
| Cmh Misc | $474 | 444% |
| Cmh Monroe County | $474 | 444% |
| Cmh Washtenaw County | $474 | 444% |
| Magellan Behavioral Health | $474 | 444% |