CMS Price Transparency Data

X-ray, lower back

Facility: Trinity Health Oakland Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $19
  • Cash Discount Price: $308
  • vs. Medicare Baseline: 0.18x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Trinity Health Oakland Hospital is $19. 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 0.18x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$308

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $19 (18%)
Cash: $308 (288% of Medicare)
Ins. Median: $19 (18% 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 $8 - $215 7%
Albany County Correctional Facility $8 7%
Ambetter / Centene $8 7%
Amish Mennonite $8 7%
Ascension St. Vincent Public Safety Medical $8 7%
Bccp $8 7%
Blue Cross Blue Shield $8 - $102 7%
Bmc Healthnet $8 7%
Breast Grant-Connecticut $8 7%
Broward County Dept Of Health $8 7%
California Health And Wellness $8 7%
Cardinal Innovations Lme $8 7%
Care Connections Of Northern Iowa $8 7%
Care Oregon Ohp $8 7%
Cencal Health Plan $8 7%
Cenpatico $8 7%
Chhuny $8 7%
Childrens Comm Health Plan $8 7%
Childrens Medical Services Title 19 $8 7%
Cigna $8 - $351 7%
City Of Philadelphia $8 7%
Cmh Allegan County $8 7%
Cmh Ausable Valley $8 7%
Cmh Barry County $8 7%
Cmh Bay-Arenac County $8 7%
Cmh Berrien County $8 7%
Cmh Cass County $8 7%
Cmh Central Mi County $8 7%
Cmh Clinton-Eaton-Ingham County $8 7%
Cmh Detroit Wayne Integrated Health Network $8 - $474 7%
Cmh Genesee County $8 7%
Cmh Ionia County $8 7%
Cmh Jackson County/Lifeways $8 7%
Cmh Kalamazoo $8 7%
Cmh Kent County $8 7%
Cmh Lenawee County $8 - $474 7%
Cmh Livingston County $8 - $474 7%
Cmh Macomb $8 7%
Cmh Misc $8 - $474 7%
Cmh Monroe County $8 - $474 7%
Cmh Montcalm County $8 7%
Cmh Muskegon County $8 7%
Cmh Newaygo County $8 7%
Cmh North Country $8 7%
Cmh Northern Lakes County $8 7%
Cmh Oakland County $8 - $474 7%
Cmh Ottawa County $8 7%
Cmh Van Buren County $8 7%
Cmh Washtenaw County $8 - $474 7%
Cmh Wayne County/Carelink $8 7%
Cmh Wayne Cty/Com Liv Svcs $8 7%
Cmh West Mi County $8 7%
Community Benefit Health $8 7%
Community Care Behavorial Health $8 7%
Community Care Partners $8 7%
Community Health Choice $8 7%
Connections Csp $8 7%
County Coroner $8 7%
County Funding Generic $8 7%
Covid19 Hrsa Uninsured Testing And Treatment Fund $8 7%
Dean Wi Badgercare $8 7%
Delaware County Department Of Health $8 7%
Delaware First Health $8 7%
Delta Dental Nj $8 7%
Dph Tb Program $8 7%
Dscc $8 7%
Eastpointe Lme $8 7%
Family Health Network $8 7%
Freedom First Healthcare $8 7%
Fresno County Ccs $8 7%
Ghc Scw Wi Badgercare $8 7%
Harbor Health $8 7%
Health Safety Net $8 7%
Healthy Blue Ne $8 7%
Hennepin Health $8 7%
Humana $8 - $348 7%
Id County Ada $8 7%
Id County Canyon $8 7%
Id County Cat Fund $8 7%
Id County Other $8 7%
Id County Payette $8 7%
Idaho Dept Health And Wellfare $8 7%
Idaho Womens Health Check $8 7%
Indiana Breast Cervical Cancer $8 7%
Inland Empire Health Plan $8 7%
Intercommunity Health Ohp $8 7%
Iowa Total Care $8 7%
Jai Medical System $8 7%
Kern Family Health Plan $8 7%
Keystone First $8 7%
Keystone First Chip $8 7%
La Care Health Plan $8 7%
Lakeland Care Inc $8 7%
Managed Health Services - Indiana $8 7%
Maryland Breast & Cervical Program $8 7%
Maryland Healthy Smiles - Scion Dental $8 7%
Maryland Physicians Care $8 7%
Massachusetts Behavioral Health Partnership $8 7%
Mdwise $8 7%
Medi-Cal $8 7%
Medi-Cal Healthnet $8 7%
Medicaid / KanCare $8 - $58 7%
Medstar Dc Healthy Family $8 7%
Medstar Md Health Choice $8 7%
Mo Home State Health Plan $8 7%
Molina Centennial Care $8 7%
Nascentia Health Options $8 7%
Nebraska Total Care $8 7%
New York Cancer Services Program $8 7%
Nextlevel Health $8 7%
Oregon Screenwise $8 7%
Pace Of Southwest Michigan $8 - $13 7%
Paramount Advantage $8 7%
Parkland Community Health Plan $8 7%
Partners Behavioral Lme $8 7%
Peach State Healthplan $8 7%
Philadelphia County Funding $8 7%
Presbyterian Centennial Care $8 7%
Prestige Health Choice $8 7%
Priority Partners $8 7%
Robert F Sing Program $8 7%
Rx 340B Pass Along $8 7%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $8 7%
Rx Medi-Cal $8 7%
Rx Meridian Rx $8 7%
Ryan White Florida Mssrp $8 7%
Sandhills Center Lme $8 7%
Screening For Life $8 7%
St Joseph County Hlth Dpt $8 7%
Stephenson Cty Health $8 7%
Sunshine State Health Plan $8 7%
Superior Health $8 7%
Tenncare $8 7%
Texas Children'S Health Plan $8 7%
Trillium Community Ohp $8 7%
Tufts Health Public Plans $8 7%
UnitedHealthcare $8 - $356 7%
Vaya Health Lme $8 7%
Washtenaw Health Plan $8 7%
Wellsense Health Plan $8 7%
Wi Womens Wellness $8 7%
Align Senior Care $13 - $104 12%
Ally Align Care Adv $13 12%
American Health Advantage Of Idaho $13 12%
American Health Plan $13 12%
Asr Health Benefits $13 - $70 12%
Aurora Special Needs $13 12%
Blue Care Network Advantage $13 - $102 12%
Blue Shield - De (Highmark) Medciare Advantage $13 12%
Care Dimensions $13 12%
Care Improvement Plus $13 12%
Care Resources Pace $13 12%
Careplus Health Plans $13 12%
Cca Senior Care Options $13 12%
Central Valley Medical Services Corp Pace $13 12%
Champion Health Plan Mcr Advantage $13 12%
Clear Spring Health $13 12%
Clover Health $13 12%
Commonwealth Care Alliance $13 12%
Community Pace At Home $13 12%
Eddy Senior Care-Pace $13 12%
Eddy Seniorcare Pace $13 12%
Elementcare $13 12%
Evercare $13 12%
Everence $13 12%
Gateway Health Plan $13 12%
Geha $13 - $356 12%
Genesys Pace Of Genesee County $13 12%
Georgia Health Advantage $13 12%
Gold Advantage $13 12%
Gpa Croell Redi Mix $13 12%
Hap $13 - $345 12%
Health America Advantra $13 12%
Health Partners $13 - $345 12%
Highmark Health Options Dual Plan $13 12%
Hope Select Pace $13 12%
Horizon Nj Total Care $13 12%
Hudson Headwaters Pace $13 12%
Huron Valley Pace $13 12%
Innovative Integrated Health Community Plans $13 12%
Iowa Health Advantage $13 12%
Johns Hopkins Advantage Md $13 12%
Lasso Healthcare Msa $13 12%
Life St Marys Pace $13 12%
Lifecircles Pace $13 12%
Longevity Health Plan $13 12%
Martins Point Generations Advantage $13 12%
Mass General Brigham Mcr Adv $13 12%
Medicare (plans) $13 - $104 12%
Medipak Advantage $13 12%
Mercy Life $13 12%
Mercyone Cedar Valley $13 12%
Meridian Complete $13 12%
Michigan Complete Health $13 12%
Nascentia Health Plus $13 12%
New Centry Health Careplus $13 12%
Osu Prime Care Advantage $13 12%
Pace Cny $13 12%
Pace Iowa Immanuel Pathways $13 12%
Pace Southeast $13 12%
Pace-Trinity Health $13 12%
Peak Pace Solutions $13 12%
Perennial Advantage $13 12%
Preferred Care Partners $13 12%
Presbyterian Senior Plan $13 12%
Provider Partners Health Plan Of Illinois $13 12%
Provider Partners Health Plan Of Indiana $13 12%
Pruitthealth Premier $13 12%
Reliance Community Care Partners Care Resources Pace $13 12%
Rx Allwin $13 12%
Rx Grane Grnmedd $13 12%
Rx Retiree Rx Care $13 12%
Scan Health Plan Mcr Ipa Meritage Oon $13 12%
Secure Horizons Ma Pffs $13 12%
Serenity Pace $13 12%
Siouxland Pace $13 12%
Solis Health Plans $13 12%
Sunnyview-Pace Finance Dept $13 12%
Texan Plus $13 12%
The Health Plan $13 - $209 12%
Thome Pace $13 12%
Todays Options $13 12%
Tribute Health Plans $13 12%
Tufts Health Plan $13 - $345 12%
Um Health Advantage $13 12%
Union Health Service $13 12%
Varipro $13 - $70 12%
Veterans Administration $13 12%
Welbe Health $13 12%
Wellmed $13 12%
Cca - Zing Health $14 - $110 13%
Longevity Ipa Of Michigan Llc Health Plan Isnp $15 - $117 14%
Acclaim $16 - $348 15%
Administrative Concepts $16 - $348 15%
Allegeant $16 - $348 15%
Allied Benefit Systems $16 - $209 15%
Ameriben $16 - $348 15%
American Family $16 - $348 15%
American Healthcare Alliance $16 - $348 15%
American National $16 - $348 15%
American Republic $16 - $348 15%
Amerihealth $16 - $348 15%
Aultcare $16 - $348 15%
Automated Benefit Services $16 - $348 15%
Auxiant $16 - $348 15%
Benefit Administrative Systems,Llc $16 - $348 15%
Boon Chapman $16 - $348 15%
Cam Administrative Services $16 - $348 15%
Christian Brother Services $16 - $348 15%
Christian Brothers Holy Cross $16 - $348 15%
Claimchoice Adminstrators $16 - $209 15%
Comprehensive Benefits $16 - $348 15%
Consociate $16 - $209 15%
Continental Life Insurance $16 - $348 15%
Coventry $16 - $357 15%
Custom Benefit Administrators $16 - $348 15%
Cypress Benefit Administrators $16 - $209 15%
Employee Benefit Concepts $16 - $348 15%
Employee Benefit Management $16 - $348 15%
Enterprise Group Planning $16 - $348 15%
First Health $16 - $357 15%
Forest County Potawatomi $16 - $209 15%
Freedom Life Insurance Company $16 - $348 15%
Group Administrators $16 - $348 15%
Group Marketing Services $16 - $348 15%
Group Pension Administrators $16 - $322 15%
Guardian $16 - $348 15%
Health America $16 - $348 15%
Health Choices $16 - $348 15%
Health Smart $16 - $209 15%
Healthcare Management Admin $16 - $348 15%
Healthez $16 - $348 15%
Healthgram $16 - $209 15%
Healthscope $16 - $209 15%
Insight $16 - $348 15%
Intercare $16 - $348 15%
Jfp Benefit Management $16 - $348 15%
Jp Farley Corporation $16 - $348 15%
Key Benefit Administrator $16 - $348 15%
Liberty Union Life Assurance Co $16 - $348 15%
Lucent Health $16 - $348 15%
Luminare Health $16 - $348 15%
Luminare Health (Detroit) $16 - $348 15%
Magnacare $16 - $348 15%
Medben $16 - $348 15%
Medcost $16 - $348 15%
Medical Mutual $16 - $135 15%
Mutual Health Services $16 - $348 15%
Mutual Of Omaha $16 - $348 15%
Ncas $16 - $348 15%
Nippon Life Ins $16 - $348 15%
Nova $16 - $348 15%
Painters Union Insurance Fund $16 - $348 15%
Physicians Mutual $16 - $348 15%
Plumbers Local 98 Insurance Fund $16 - $348 15%
Prairie States $16 - $348 15%
Preferred One $16 - $348 15%
Primary Physician Care $16 - $348 15%
Professional Benefit Administrators $16 - $348 15%
Secureone Preferred United Plans $16 - $209 15%
Siho Insurance Services $16 - $348 15%
Sisco Benefits $16 - $209 15%
The Loomis Company $16 - $348 15%
Trustmark Small Business Benefits $16 - $209 15%
Unicare $16 - $348 15%
Unified Group Services $16 - $209 15%
Us Health And Life $16 - $348 15%
Valenz $16 - $348 15%
Webtpa $16 - $209 15%
Western & Southern Financial Group $16 - $348 15%
Wps $16 - $348 15%
American Postal Workers Secondary $17 16%
1199 National Benefit Fund $18 - $322 17%
Allied National Global Care $18 - $322 17%
Asrm - Reliance Standard Life Insurance $18 - $322 17%
Christian Care Ministry $18 - $322 17%
Dean Health $18 - $322 17%
Fallon Health $18 - $322 17%
Family Life Insurance Company $18 - $322 17%
International Benefit Administrators $18 - $322 17%
Lifetime Benefit Solutions $18 - $322 17%
Manhattan Life $18 - $322 17%
Mclaren Health $18 - $249 17%
Molina Marketplace $18 - $135 17%
Multiplan $18 - $322 17%
Mvp $18 - $322 17%
Pai $18 - $322 17%
Pan-American Life $18 - $322 17%
Phcs $18 - $322 17%
Priority Health $18 - $112 17%
Trinity Health Share $18 - $322 17%
U Of M Health Plan $18 - $113 17%
Wc Accident Fund $18 - $144 17%
Wc Advantage $18 - $144 17%
Wc Aig $18 - $144 17%
Wc Allied $18 - $144 17%
Wc Amerisure $18 - $144 17%
Wc Amtrust $18 - $144 17%
Wc Asu Risk Mgt $18 - $144 17%
Wc Berkley Admin $18 - $144 17%
Wc Broadspire $18 - $144 17%
Wc Bunch & Associates $18 - $144 17%
Wc Ccmsi $18 - $144 17%
Wc Emc Insurance Company $18 - $144 17%
Wc Esis $18 - $144 17%
Wc Fcci $18 - $144 17%
Wc Federated $18 - $144 17%
Wc Gallagher Bassett $18 - $144 17%
Wc Genex Care For Ohio $18 - $144 17%
Wc Guard Insurance Company $18 - $144 17%
Wc Hartford $18 - $144 17%
Wc Liberty Mutual $18 - $144 17%
Wc Meijers $18 - $144 17%
Wc Michigan $18 - $144 17%
Wc Mitchell Frankenmuth $18 - $144 17%
Wc Pma $18 - $144 17%
Wc Sedgwick $18 - $144 17%
Wc Sentry $18 - $144 17%
Wc Travelers $18 - $144 17%
Wc Tristar $18 - $144 17%
Wc Walmart $18 - $144 17%
Wc Zurich $18 - $144 17%
Wellpath $18 - $161 17%
Andrie Inc $19 18%
Blue Care Network $19 - $88 18%
East Greenbush Central School District $19 18%
Genex Wc $19 18%
Healthsmart Workers Comp $19 18%
Jag Source $19 18%
Meritain $19 - $135 18%
New York State Insurance Fund $19 18%
Njm Insurance Group $19 18%
Partners Direct Health - Brio $19 18%
Rx Heatlhcomp $19 18%
Rx Restat $19 18%
Rx Saif Opdp Wc $19 18%
Rx Worker'S Comp $19 18%
Wc Ace $19 18%
Wc Acs Federal Employees $19 18%
Wc Acuity $19 18%
Wc Aegis $19 18%
Wc Aims $19 18%
Wc Alaska National Ins $19 18%
Wc Align Network $19 18%
Wc Am Trust N America $19 18%
Wc American Claims Mgmt $19 18%
Wc Benetech $19 18%
Wc Broward County $19 18%
Wc California State Comp Ins $19 18%
Wc California State Ins Fund $19 18%
Wc Capitol Area Health Consortium $19 18%
Wc Chartis $19 18%
Wc Chubb $19 18%
Wc Cirma $19 18%
Wc City Of Albany $19 18%
Wc City Of Sioux City $19 18%
Wc Claims Mgmt Inc $19 18%
Wc Cna $19 18%
Wc Comp One Admin C/O Manageability $19 18%
Wc Compone Admin $19 18%
Wc Corvel $19 18%
Wc Ct Healthcare Trust $19 18%
Wc Donegal Insurance Group $19 18%
Wc Employee Mutual $19 18%
Wc Enablecomp $19 18%
Wc Encore Health Network $19 18%
Wc Erie $19 18%
Wc Evolutions $19 18%
Wc Fed Ex $19 18%
Wc Federal Black Lung $19 18%
Wc Finley Occupational Health $19 18%
Wc First Agency/Occunet $19 18%
Wc Ford Motor $19 18%
Wc Fresno Unified Emp $19 18%
Wc General Motors $19 18%
Wc Generic $19 18%
Wc Great West Casualty $19 18%
Wc Guarantee Insurance $19 18%
Wc Hab $19 18%
Wc Hastings $19 18%
Wc Health Management $19 18%
Wc Heritage Summit $19 18%
Wc Hireright $19 18%
Wc Horizon $19 18%
Wc Icw Group $19 18%
Wc Idaho State Ins Fund $19 18%
Wc Intercare Insurance $19 18%
Wc Intermountain $19 18%
Wc Johns Eastern $19 18%
Wc Kemberton $19 18%
Wc Key Ins & Benefit Solutions $19 18%
Wc Mac Risk Management $19 18%
Wc Massachusetts $19 18%
Wc Mdia $19 18%
Wc Meadowbrook Claim $19 18%
Wc Medical Administrators $19 18%
Wc Memic $19 18%
Wc Mercy Workcare $19 18%
Wc Michigan Millers Mutual $19 18%
Wc Mra $19 18%
Wc Nationwide $19 18%
Wc Nca Comp $19 18%
Wc New York $19 18%
Wc New York Special Funds $19 18%
Wc North American Rishces $19 18%
Wc Northeast Health $19 18%
Wc Notre Dame $19 18%
Wc Novanet $19 18%
Wc O'Hara Corp $19 18%
Wc Occ Health Allen $19 18%
Wc Ohio Bureau $19 18%
Wc One Call Medical $19 18%
Wc Paradigm $19 18%
Wc Peerless $19 18%
Wc Praxis Health Network $19 18%
Wc Price Chopper $19 18%
Wc Procura Management $19 18%
Wc Qualcare $19 18%
Wc Quiktrip $19 18%
Wc Reny Company $19 18%
Wc Rev Claims $19 18%
Wc Risico $19 18%
Wc Rural Mutual $19 18%
Wc Saif Oregon $19 18%
Wc Secura $19 18%
Wc Sheakley Unicomp $19 18%
Wc Smile Lodge $19 18%
Wc Society $19 18%
Wc Srs $19 18%
Wc Taconic (Mro) $19 18%
Wc Taconic Farms $19 18%
Wc Triad Group $19 18%
Wc Troy Ny $19 18%
Wc Tyson $19 18%
Wc Unified Health Services $19 18%
Wc United Heartland $19 18%
Wc Us Dept Of Labor $19 18%
Wc Velocity $19 18%
Wc West Bend $19 18%
Wc West Bend Mutual/Argent $19 18%
Wc Winnebago Industries $19 18%
Wc Yankee Trails $19 18%
Wc York Risk $19 18%
Wc Zenith $19 18%
Blue Benefit Administrators Of Massachusetts $20 - $88 19%
Blue Distinction Transplant $20 - $88 19%
Blue Shield - Ca $20 - $88 19%
Blue Shield - Id (Regence) $20 - $88 19%
Blue Shield - Ny Highmark Northeastern $20 - $88 19%
Blue Shield - Ny Highmark Western $20 - $88 19%
Blue Shield - Pa (Highmark) $20 - $88 19%
Blue Shield - Wa (Regence) $20 - $88 19%
Claimdoc $20 19%
Kent County Jail $20 19%
Muskegon County Jail $20 19%
Champva $22 21%
Tricare $22 21%
Triwest Health Alliance $22 21%
Us Family Health Plan $22 21%
Veterans Eval Services $22 21%
Bcccp-Michigan $27 25%
Caresource $70 66%
Bcn Domestic $88 82%
Kaiser Domestic $88 82%
Hospice Advantage $104 97%
Health Cost Solutions $161 151%
Vitalcore $161 151%
Acs Benefit Services $209 196%
Carelon Behavioral Health $237 222%
Employee Benefit Logistic $240 225%
Magellan Behavioral Health $284 266%
Ghc Scw $322 301%
Medi Share $322 301%
Paramount Hmo $322 301%
Access Health $348 326%
Prime Health Services $379 355%
Three Rivers Provider Network $427 400%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals