CMS Price Transparency Data

X-ray, lower back

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $73
  • Cash Discount Price: $310
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Munson Healthcare Cadillac Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $310. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.68x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$310

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $310 (290%)
Insurance Median: $73 (68%)
Cash: $310 (290% of Medicare)
Ins. Median: $73 (68% 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 $8 - $98 7%
Mclaren Health Plan $8 - $383 7%
Meridian $8 - $54 7%
Molina $8 - $112 7%
Priority Health $8 - $130 7%
UnitedHealthcare $8 - $377 7%
American Health Associates $12 - $104 11%
Autumnwood Of Mcbain Skilled Nursing $12 - $104 11%
Blue Care Network $12 - $104 11%
Hap (Health Alliance Plan) $12 - $486 11%
Humana $12 - $104 11%
Medicare (plans) $12 - $104 11%
Michigan Amish Medical Board $12 - $104 11%
Promedica $12 - $104 11%
Samaritas Senior Living Skilled Nursing $12 - $104 11%
Wellcare (Meridian) $12 - $104 11%
Aetna $16 - $462 15%
Cofinity $16 - $474 15%
Provider Network Of America Group Health $17 - $517 16%
Asr/Physicians Care $19 - $486 18%
Cigna $19 - $130 18%
Employee Benefits Logistics $21 - $177 20%
Hospice Of Michigan $73 - $365 68%
Munson Hospice $85 - $852 80%
Enterprise Group Planning/Employee Benefit Plan $97 - $486 91%
Medical Cost Savings Solution $97 - $486 91%
Nomi Health $97 - $486 91%
Robbing Group And Regency Employee Benefits $97 - $486 91%
First Health/Coventry Network $103 - $517 96%
Three Rivers Provider Network $103 - $517 96%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals