CMS Price Transparency Data

X-ray, lower back

Facility: Mercy Health Lakeshore Campus

Billing Code: 72110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 0.3× the $107 Medicare rate · typically $29–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
Well above the fair price
about $27 over the fair price · 0.5× Medicare
Medicare pays $107 Fair price $29 This hospital $56 Hospital's list price $123

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $56

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $29 (about 0.3× the $107 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $56 — well above the fair price. Located in Shelby, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $29. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $27 - $413 25%
Blue Cross Blue Shieldmajor $26 - $392 24%
Aetnamajor $26 - $365 24%
Cignamajor $26 - $398 24%
Humanamajor $26 - $411 24%
Kaiser Permanentemajor $392 367%
Ambetter (Centene) $26 - $34 24%
AmeriHealth $53 - $411 50%
CareSource $410 384%
Dean Health Plan $50 - $395 47%
GEHA $34 - $413 32%
Health Net $26 - $74 24%
HealthPartners $26 - $43 24%
MagnaCare $53 - $92 50%
Medical Mutual $53 - $411 50%
Meridian $26 - $34 24%
Molina $26 - $191 24%
MVP Health Care $50 - $395 47%
Oscar Health $50 - $141 47%
Paramount $26 - $395 24%
Presbyterian $26 - $34 24%
Priority Health $63 - $414 59%
Tufts Health Plan $26 - $43 24%
UniCare $53 - $411 50%
WellSense $26 - $34 24%
+ 355 smaller / regional plans $26 - $421
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals