CMS Price Transparency Data

X-ray, lower back

Facility: Henry Ford Macomb Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $13
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Henry Ford Macomb Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.12x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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%)
Insurance Median: $13 (12%)
Ins. Median: $13 (12% 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 - $204 7%
Amerihealth Michigan $8 - $12 7%
Mclaren Health Plan Inc. $8 - $12 7%
Meridian $8 - $12 7%
Priority $8 - $12 7%
Molina $9 - $141 8%
Hap $11 - $104 10%
Bcn $12 - $104 11%
Blue Cross Blue Shield $12 - $104 11%
Cca Health Mi $12 11%
Health Alliance Plan Of Michigan $12 11%
Humana $12 - $106 11%
Mount Carmel Health Plan $12 - $104 11%
Pace Se Mi $12 11%
United Behavioral Health, Inc. $12 11%
UnitedHealthcare $12 - $190 11%
Wellcare Ma $12 11%
Vitalcore Physicians Group Of Mi $16 - $240 15%
Mclaren $20 19%
Meridian Health Plan Of Mi $20 - $141 19%
Priority Health $20 - $125 19%
Cigna $22 - $304 21%
Wellcare $38 36%
Pace Of Se Mi $99 93%
Cca Health Michigan $104 97%
Hap Caresource $104 97%
Mclaren Health $104 - $199 97%
Molina Mi Health Link $104 97%
Cofinity Group Health $120 - $280 112%
Multiplan, Inc. $216 - $249 202%
University Of Michigan $262 - $302 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals