CMS Price Transparency Data

X-ray, lower back

Facility: Charlevoix Area Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $74
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Charlevoix Area Hospital is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.69x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $207 (194%)
Insurance Median: $74 (69%)
Cash: $207 (194% of Medicare)
Ins. Median: $74 (69% 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 - $225 7%
Mclaren Health Plan $8 - $227 7%
Meridian $8 - $74 7%
Priority Health $8 - $244 7%
UnitedHealthcare $8 - $212 7%
Aetna $12 - $220 11%
Blue Care Network $12 - $115 11%
Hap (Health Alliance Plan) $12 - $195 11%
Medicare (plans) $12 - $115 11%
Michigan Amish Medical Board $12 - $115 11%
Molina $12 - $124 11%
Northern Michigan Mennonite Group $12 - $115 11%
Asr Physicians Care Network $19 - $195 18%
Cigna $19 - $244 18%
Nomi Health $20 - $227 19%
Employee Benefits Logistics $21 - $195 20%
Hospice Of Michigan $146 137%
Provider Network Of America/Hma Group Health $147 - $207 138%
Enterprise Group Planning Employee Benefit Plan $195 183%
First Health/Coventry Health/Community Care Network $195 183%
Medical Cost Savings Solution $195 183%
Three Rivers Provider Network $207 194%
Iba Health And Life Assurance Company $224 210%
Cofinity $227 213%
Preferred Medical Claim Solutions $232 217%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals