CMS Price Transparency Data

X-ray, lower back

Facility: Mercy Health Lakeshore Campus

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $56
  • Cash Discount Price: $298
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mercy Health Lakeshore Campus is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.52x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$298

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $298 (279%)
Insurance Median: $56 (52%)
Cash: $298 (279% of Medicare)
Ins. Median: $56 (52% 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
Medicaid / KanCare $19 - $80 18%
Aetna $26 - $365 24%
Albany County Correctional Facility $26 - $34 24%
Ambetter / Centene $26 - $34 24%
Amish Mennonite $26 - $34 24%
Ascension St. Vincent Public Safety Medical $26 - $34 24%
Bccp $26 - $34 24%
Blue Cross Blue Shield $26 - $392 24%
Bmc Healthnet $26 - $34 24%
Breast Grant-Connecticut $26 - $34 24%
Broward County Dept Of Health $26 - $34 24%
California Health And Wellness $26 - $34 24%
Can Community Health Inc $26 - $34 24%
Cardinal Innovations Lme $26 - $34 24%
Care Connections Of Northern Iowa $26 - $34 24%
Care Oregon Ohp $26 - $34 24%
Cencal Health Plan $26 - $34 24%
Cenpatico $26 - $34 24%
Chhuny $26 - $34 24%
Childrens Comm Health Plan $26 - $34 24%
Childrens Medical Services Title 19 $26 - $34 24%
Cigna $26 - $398 24%
City Of Philadelphia $26 - $34 24%
Cmh Allegan County $26 - $34 24%
Cmh Ausable Valley $26 - $34 24%
Cmh Barry County $26 - $34 24%
Cmh Bay-Arenac County $26 - $34 24%
Cmh Berrien County $26 - $34 24%
Cmh Cass County $26 - $34 24%
Cmh Central Mi County $26 - $34 24%
Cmh Clinton-Eaton-Ingham County $26 - $34 24%
Cmh Detroit Wayne Integrated Health Network $26 - $34 24%
Cmh Genesee County $26 - $34 24%
Cmh Ionia County $26 - $34 24%
Cmh Jackson County/Lifeways $26 - $34 24%
Cmh Kalamazoo $26 - $34 24%
Cmh Kent County $26 - $34 24%
Cmh Lenawee County $26 - $34 24%
Cmh Livingston County $26 - $34 24%
Cmh Macomb $26 - $34 24%
Cmh Misc $26 - $34 24%
Cmh Monroe County $26 - $34 24%
Cmh Montcalm County $26 - $34 24%
Cmh Muskegon County $26 - $34 24%
Cmh Newaygo County $26 - $34 24%
Cmh North Country $26 - $34 24%
Cmh Northern Lakes County $26 - $34 24%
Cmh Oakland County $26 - $34 24%
Cmh Ottawa County $26 - $34 24%
Cmh Van Buren County $26 - $34 24%
Cmh Washtenaw County $26 - $34 24%
Cmh Wayne County/Carelink $26 - $34 24%
Cmh Wayne Cty/Com Liv Svcs $26 - $34 24%
Cmh West Mi County $26 - $34 24%
Community Benefit Health $26 - $34 24%
Community Care Behavorial Health $26 - $34 24%
Community Care Partners $26 - $34 24%
Community Health Choice $26 - $34 24%
Connections Csp $26 - $34 24%
County Coroner $26 - $34 24%
County Funding Generic $26 - $34 24%
Covid19 Hrsa Uninsured Testing And Treatment Fund $26 - $34 24%
Dean Wi Badgercare $26 - $34 24%
Delaware County Department Of Health $26 - $34 24%
Delaware First Health $26 - $34 24%
Delta Dental Nj $26 - $34 24%
Dph Tb Program $26 - $34 24%
Dscc $26 - $34 24%
Eastpointe Lme $26 - $34 24%
Family Health Network $26 - $34 24%
Freedom First Healthcare $26 - $34 24%
Fresno County Ccs $26 - $34 24%
Ghc Scw Wi Badgercare $26 - $34 24%
Harbor Health $26 - $34 24%
Health Safety Net $26 - $34 24%
Healthy Blue Ne $26 - $34 24%
Hennepin Health $26 - $34 24%
Humana $26 - $411 24%
Id County Ada $26 - $34 24%
Id County Canyon $26 - $34 24%
Id County Cat Fund $26 - $34 24%
Id County Other $26 - $34 24%
Id County Payette $26 - $34 24%
Idaho Dept Health And Wellfare $26 - $34 24%
Idaho Womens Health Check $26 - $34 24%
Indiana Breast Cervical Cancer $26 - $34 24%
Inland Empire Health Plan $26 - $34 24%
Intercommunity Health Ohp $26 - $34 24%
Iowa Total Care $26 - $34 24%
Jai Medical System $26 - $34 24%
Kern Family Health Plan $26 - $34 24%
Keystone First $26 - $34 24%
Keystone First Chip $26 - $34 24%
La Care Health Plan $26 - $34 24%
Lakeland Care Inc $26 - $34 24%
Managed Health Services - Indiana $26 - $34 24%
Maryland Breast & Cervical Program $26 - $34 24%
Maryland Healthy Smiles - Scion Dental $26 - $34 24%
Maryland Physicians Care $26 - $34 24%
Massachusetts Behavioral Health Partnership $26 - $34 24%
Mdwise $26 - $34 24%
Medi-Cal $26 - $34 24%
Medi-Cal Healthnet $26 - $34 24%
Medstar Dc Healthy Family $26 - $34 24%
Medstar Md Health Choice $26 - $34 24%
Mo Home State Health Plan $26 - $34 24%
Molina Centennial Care $26 - $34 24%
Nascentia Health Options $26 - $34 24%
Nebraska Total Care $26 - $34 24%
New York Cancer Services Program $26 - $34 24%
Nextlevel Health $26 - $34 24%
Oregon Screenwise $26 - $34 24%
Pace Of Southwest Michigan $26 - $34 24%
Paramount Advantage $26 - $34 24%
Parkland Community Health Plan $26 - $34 24%
Partners Behavioral Lme $26 - $34 24%
Peach State Healthplan $26 - $34 24%
Philadelphia County Funding $26 - $34 24%
Presbyterian Centennial Care $26 - $34 24%
Prestige Health Choice $26 - $34 24%
Priority Partners $26 - $34 24%
Robert F Sing Program $26 - $34 24%
Rx 340B Pass Along $26 - $34 24%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $26 - $34 24%
Rx Medi-Cal $26 - $34 24%
Rx Meridian Rx $26 - $34 24%
Ryan White Florida Mssrp $26 - $34 24%
Sandhills Center Lme $26 - $34 24%
Screening For Life $26 - $34 24%
St Joseph County Hlth Dpt $26 - $34 24%
Stephenson Cty Health $26 - $34 24%
Sunshine State Health Plan $26 - $34 24%
Superior Health $26 - $34 24%
Tenncare $26 - $34 24%
Texas Children'S Health Plan $26 - $34 24%
Trillium Community Ohp $26 - $34 24%
Tufts Health Public Plans $26 - $34 24%
Vaya Health Lme $26 - $34 24%
Washtenaw Health Plan $26 - $34 24%
Wellsense Health Plan $26 - $34 24%
Wi Womens Wellness $26 - $34 24%
UnitedHealthcare $27 - $413 25%
Hap $29 - $421 27%
Health Partners $29 - $43 27%
Tufts Health Plan $29 - $43 27%
Champva $34 - $46 32%
Geha $34 - $413 32%
Tricare $34 - $46 32%
Triwest Health Alliance $34 - $46 32%
Us Family Health Plan $34 - $46 32%
Veterans Eval Services $34 - $46 32%
Align Senior Care $37 - $115 35%
Medicare (plans) $37 - $112 35%
Veterans Administration $37 - $50 35%
Cca - Zing Health $40 - $54 37%
Access Health $42 - $80 39%
Longevity Ipa Of Michigan Llc Health Plan Isnp $42 - $129 39%
1199 National Benefit Fund $50 - $395 47%
Allied National Global Care $50 - $395 47%
Asrm - Reliance Standard Life Insurance $50 - $395 47%
Christian Care Ministry $50 - $395 47%
Dean Health $50 - $395 47%
Fallon Health $50 - $395 47%
Family Life Insurance Company $50 - $395 47%
International Benefit Administrators $50 - $395 47%
Lifetime Benefit Solutions $50 - $395 47%
Manhattan Life $50 - $395 47%
Molina Marketplace $50 - $191 47%
Multiplan $50 - $395 47%
Mvp $50 - $395 47%
Oscar $50 - $141 47%
Pai $50 - $395 47%
Pan-American Life $50 - $395 47%
Phcs $50 - $395 47%
Trinity Health Share $50 - $395 47%
Wellpath $50 - $156 47%
Asr Health Benefits $52 - $382 49%
Acclaim $53 - $411 50%
Administrative Concepts $53 - $411 50%
Allegeant $53 - $411 50%
Allied Benefit Systems $53 - $411 50%
Ameriben $53 - $411 50%
American Family $53 - $411 50%
American Healthcare Alliance $53 - $411 50%
American National $53 - $92 50%
American Republic $53 - $411 50%
Amerihealth $53 - $411 50%
Aultcare $53 - $411 50%
Automated Benefit Services $53 - $411 50%
Auxiant $53 - $411 50%
Benefit Administrative Systems,Llc $53 - $411 50%
Boon Chapman $53 - $411 50%
Cam Administrative Services $53 - $411 50%
Christian Brother Services $53 - $411 50%
Christian Brothers Holy Cross $53 - $411 50%
Claimchoice Adminstrators $53 - $411 50%
Comprehensive Benefits $53 - $411 50%
Consociate $53 - $411 50%
Continental Life Insurance $53 - $411 50%
Coventry $53 - $92 50%
Custom Benefit Administrators $53 - $411 50%
Cypress Benefit Administrators $53 - $411 50%
Employee Benefit Concepts $53 - $411 50%
Employee Benefit Management $53 - $411 50%
Enterprise Group Planning $53 - $411 50%
First Health $53 - $415 50%
Forest County Potawatomi $53 - $411 50%
Freedom Life Insurance Company $53 - $411 50%
Group Administrators $53 - $411 50%
Group Marketing Services $53 - $411 50%
Group Pension Administrators $53 - $395 50%
Guardian $53 - $411 50%
Health America $53 - $411 50%
Health Choices $53 - $411 50%
Health Smart $53 - $411 50%
Healthcare Management Admin $53 - $92 50%
Healthez $53 - $411 50%
Healthgram $53 - $411 50%
Healthscope $53 - $411 50%
Insight $53 - $411 50%
Intercare $53 - $411 50%
Jfp Benefit Management $53 - $411 50%
Jp Farley Corporation $53 - $411 50%
Key Benefit Administrator $53 - $411 50%
Liberty Union Life Assurance Co $53 - $411 50%
Lucent Health $53 - $411 50%
Luminare Health $53 - $411 50%
Luminare Health (Detroit) $53 - $411 50%
Magnacare $53 - $92 50%
Medben $53 - $411 50%
Medcost $53 - $411 50%
Medical Mutual $53 - $411 50%
Mutual Health Services $53 - $411 50%
Mutual Of Omaha $53 - $411 50%
Ncas $53 - $411 50%
Nippon Life Ins $53 - $411 50%
Nova $53 - $411 50%
Painters Union Insurance Fund $53 - $411 50%
Physicians Mutual $53 - $411 50%
Plumbers Local 98 Insurance Fund $53 - $411 50%
Prairie States $53 - $411 50%
Preferred One $53 - $92 50%
Primary Physician Care $53 - $411 50%
Professional Benefit Administrators $53 - $411 50%
Secureone Preferred United Plans $53 - $411 50%
Siho Insurance Services $53 - $92 50%
Sisco Benefits $53 - $92 50%
The Health Plan $53 - $92 50%
The Loomis Company $53 - $411 50%
Trustmark Small Business Benefits $53 - $411 50%
Unicare $53 - $411 50%
Unified Group Services $53 - $411 50%
Valenz $53 - $411 50%
Wc Accident Fund $53 - $362 50%
Wc Advantage $53 - $362 50%
Wc Aig $53 - $362 50%
Wc Allied $53 - $362 50%
Wc Amerisure $53 - $362 50%
Wc Amtrust $53 - $362 50%
Wc Asu Risk Mgt $53 - $362 50%
Wc Berkley Admin $53 - $362 50%
Wc Broadspire $53 - $362 50%
Wc Bunch & Associates $53 - $362 50%
Wc Ccmsi $53 - $362 50%
Wc Emc Insurance Company $53 - $362 50%
Wc Esis $53 - $362 50%
Wc Fcci $53 - $362 50%
Wc Federated $53 - $362 50%
Wc Gallagher Bassett $53 - $362 50%
Wc Genex Care For Ohio $53 - $362 50%
Wc Guard Insurance Company $53 - $362 50%
Wc Hartford $53 - $362 50%
Wc Liberty Mutual $53 - $362 50%
Wc Meijers $53 - $362 50%
Wc Michigan $53 - $362 50%
Wc Mitchell Frankenmuth $53 - $362 50%
Wc Pma $53 - $362 50%
Wc Sedgwick $53 - $362 50%
Wc Sentry $53 - $362 50%
Wc Travelers $53 - $362 50%
Wc Tristar $53 - $362 50%
Wc Walmart $53 - $362 50%
Wc Zurich $53 - $362 50%
Webtpa $53 - $92 50%
Western & Southern Financial Group $53 - $411 50%
Wps $53 - $411 50%
Partners Direct Health - Brio $54 - $72 51%
Andrie Inc $56 - $74 52%
East Greenbush Central School District $56 - $74 52%
Genex Wc $56 - $74 52%
Healthsmart Workers Comp $56 - $74 52%
Jag Source $56 - $74 52%
Meritain $56 - $365 52%
New York State Insurance Fund $56 - $74 52%
Njm Insurance Group $56 - $74 52%
Rx Heatlhcomp $56 - $74 52%
Rx Restat $56 - $74 52%
Rx Saif Opdp Wc $56 - $74 52%
Rx Worker'S Comp $56 - $74 52%
Wc Ace $56 - $74 52%
Wc Acs Federal Employees $56 - $74 52%
Wc Acuity $56 - $74 52%
Wc Aegis $56 - $74 52%
Wc Aims $56 - $74 52%
Wc Alaska National Ins $56 - $74 52%
Wc Align Network $56 - $74 52%
Wc Am Trust N America $56 - $74 52%
Wc American Claims Mgmt $56 - $74 52%
Wc Benetech $56 - $74 52%
Wc Broward County $56 - $74 52%
Wc California State Comp Ins $56 - $74 52%
Wc California State Ins Fund $56 - $74 52%
Wc Capitol Area Health Consortium $56 - $74 52%
Wc Chartis $56 - $74 52%
Wc Chubb $56 - $74 52%
Wc Cirma $56 - $74 52%
Wc City Of Albany $56 - $74 52%
Wc City Of Sioux City $56 - $74 52%
Wc Claims Mgmt Inc $56 - $74 52%
Wc Cna $56 - $74 52%
Wc Comp One Admin C/O Manageability $56 - $74 52%
Wc Compone Admin $56 - $74 52%
Wc Corvel $56 - $74 52%
Wc Ct Healthcare Trust $56 - $74 52%
Wc Donegal Insurance Group $56 - $74 52%
Wc Employee Mutual $56 - $74 52%
Wc Enablecomp $56 - $74 52%
Wc Encore Health Network $56 - $74 52%
Wc Erie $56 - $74 52%
Wc Evolutions $56 - $74 52%
Wc Fed Ex $56 - $74 52%
Wc Federal Black Lung $56 - $74 52%
Wc Finley Occupational Health $56 - $74 52%
Wc First Agency/Occunet $56 - $74 52%
Wc Ford Motor $56 - $74 52%
Wc Fresno Unified Emp $56 - $74 52%
Wc General Motors $56 - $74 52%
Wc Generic $56 - $74 52%
Wc Great West Casualty $56 - $74 52%
Wc Guarantee Insurance $56 - $74 52%
Wc Hab $56 - $74 52%
Wc Hastings $56 - $74 52%
Wc Health Management $56 - $74 52%
Wc Heritage Summit $56 - $74 52%
Wc Hireright $56 - $74 52%
Wc Horizon $56 - $74 52%
Wc Icw Group $56 - $74 52%
Wc Idaho State Ins Fund $56 - $74 52%
Wc Intercare Insurance $56 - $74 52%
Wc Intermountain $56 - $74 52%
Wc Johns Eastern $56 - $74 52%
Wc Kemberton $56 - $74 52%
Wc Key Ins & Benefit Solutions $56 - $74 52%
Wc Mac Risk Management $56 - $74 52%
Wc Massachusetts $56 - $74 52%
Wc Mdia $56 - $74 52%
Wc Meadowbrook Claim $56 - $74 52%
Wc Medical Administrators $56 - $74 52%
Wc Memic $56 - $74 52%
Wc Mercy Workcare $56 - $74 52%
Wc Michigan Millers Mutual $56 - $74 52%
Wc Mra $56 - $74 52%
Wc Nationwide $56 - $74 52%
Wc Nca Comp $56 - $74 52%
Wc New York $56 - $74 52%
Wc New York Special Funds $56 - $74 52%
Wc North American Rishces $56 - $74 52%
Wc Northeast Health $56 - $74 52%
Wc Notre Dame $56 - $74 52%
Wc Novanet $56 - $74 52%
Wc O'Hara Corp $56 - $74 52%
Wc Occ Health Allen $56 - $74 52%
Wc Ohio Bureau $56 - $74 52%
Wc One Call Medical $56 - $74 52%
Wc Paradigm $56 - $74 52%
Wc Peerless $56 - $74 52%
Wc Praxis Health Network $56 - $74 52%
Wc Price Chopper $56 - $74 52%
Wc Procura Management $56 - $74 52%
Wc Qualcare $56 - $74 52%
Wc Quiktrip $56 - $74 52%
Wc Reny Company $56 - $74 52%
Wc Rev Claims $56 - $74 52%
Wc Risico $56 - $74 52%
Wc Rural Mutual $56 - $74 52%
Wc Saif Oregon $56 - $74 52%
Wc Secura $56 - $74 52%
Wc Sheakley Unicomp $56 - $74 52%
Wc Smile Lodge $56 - $74 52%
Wc Society $56 - $74 52%
Wc Srs $56 - $74 52%
Wc Taconic (Mro) $56 - $74 52%
Wc Taconic Farms $56 - $74 52%
Wc Triad Group $56 - $74 52%
Wc Troy Ny $56 - $74 52%
Wc Tyson $56 - $74 52%
Wc Unified Health Services $56 - $74 52%
Wc United Heartland $56 - $74 52%
Wc Us Dept Of Labor $56 - $74 52%
Wc Velocity $56 - $74 52%
Wc West Bend $56 - $74 52%
Wc West Bend Mutual/Argent $56 - $74 52%
Wc Winnebago Industries $56 - $74 52%
Wc Yankee Trails $56 - $74 52%
Wc York Risk $56 - $74 52%
Wc Zenith $56 - $74 52%
Claimdoc $58 - $77 54%
Kent County Jail $58 - $77 54%
Muskegon County Jail $58 - $77 54%
American Postal Workers Secondary $59 - $78 55%
Blue Care Network $60 - $392 56%
Varipro $61 - $421 57%
Us Health And Life $62 - $411 58%
Blue Benefit Administrators Of Massachusetts $63 - $392 59%
Blue Distinction Transplant $63 - $392 59%
Blue Shield - Ca $63 - $392 59%
Blue Shield - Id (Regence) $63 - $392 59%
Blue Shield - Ny Highmark Northeastern $63 - $392 59%
Blue Shield - Ny Highmark Western $63 - $392 59%
Blue Shield - Pa (Highmark) $63 - $392 59%
Blue Shield - Wa (Regence) $63 - $392 59%
Priority Health $63 - $414 59%
Nomi Health $75 - $257 70%
Bcccp-Michigan $92 - $159 86%
U Of M Health Plan $92 - $411 86%
Blue Care Network Advantage $112 105%
Correctional Recovery $115 108%
Vitalcore $153 143%
Hospice Of Michigan $252 236%
Bcn Domestic $392 367%
Kaiser Domestic $392 367%
Ghc Scw $395 370%
Medi Share $395 370%
Paramount Hmo $395 370%
Caresource $410 384%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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