CMS Price Transparency Data

X-ray, lower back

Facility: Mercy Rehabilitation Hospital Springfield

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $558
  • Cash Discount Price: $558
  • vs. Medicare Baseline: 5.22x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mercy Rehabilitation Hospital Springfield is $558. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $558. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.22x the Medicare baseline. Located in 5904 S Southwood Rd, Springfield, MO.
Cash / Self-Pay
$558

Average discount available for prompt cash payment at this facility.

Insurance Median
$558

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: $558 (522%)
Insurance Median: $558 (522%)
Cash: $558 (522% of Medicare)
Ins. Median: $558 (522% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 522% of the Medicare baseline (a markup of 422%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $335 - $558 314%
Blue Preferred $404 378%
Firsthealth Network $407 381%
Blue Cross Blue Shield $424 - $558 397%
Healthlink Workcomp $474 444%
Allwell From Home State Health $558 522%
Allyalign Health (Nhc Advantage) $558 522%
Ambetter / Centene $558 522%
Architectural Systems, Inc. (Asi) $558 522%
Ava R1 School District (Smbc) $558 522%
Bakersfield School District (Smbc) $558 522%
Blue Access $558 522%
Bolivar School (Smbc) $558 522%
Buchheit $558 522%
Cardinal Scale (Tri State Healthcare Coalition) $558 522%
Carthage R-9 School District (Tri-State Healthcare Coalition) $558 522%
Cigna $558 522%
City Of Springfield $558 522%
City Of Webb City (Tri State Healthcare Coalition) $558 522%
Devoted Healthcare $558 522%
Diversified Plastics $558 522%
Dora School District (Smbc) $558 522%
Easter Seals Midwest $558 522%
Employers Benefit Alliance $558 522%
Essence $558 522%
Evolutions $558 522%
Fabick Cat $558 522%
Fair Grove School District (Smbc) $558 522%
Health Net Federal Services $558 522%
Health Systems, Inc. $558 522%
Healthlink Hmo $558 522%
Healthlink Ppo $558 522%
Heart Of America (Tri State Healthcare Coalition &Amp;#8211; Med Pay) $558 522%
Hickory County Skyline School District (Smbc) $558 522%
Home State Health Plan, Inc. $558 522%
Humana $558 522%
J And M Farms, Inc. (Tri-State Healthcare Coalition) $558 522%
Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) $558 522%
Laclede County School District Conway (Smbc) $558 522%
Lebanon School District (Smbc) $558 522%
Liberty Utilities (Empire District Electric) $558 522%
Marshfield School District (Smbc) $558 522%
Medica $558 522%
Medicaid / KanCare $558 522%
Mercy Charity Contract $558 522%
Mers Goodwill $558 522%
Missouri State University $558 522%
Mount Vernon School District (Smbc) $558 522%
Mountain Grove R-111 School District (Smbc) $558 522%
Mountain View School District (Smbc) $558 522%
Multiplan/Phcs/Beech Street $558 522%
Ozarks Community Hospital $558 522%
Pathway/Pathway X $558 522%
Phcs Savility $558 522%
Quality Collisson Group $558 522%
Quiktrip Corporation $558 522%
Richards R-V School District (Smbc) $558 522%
Roper Automotive Group (Tri State Healthcare Coalition) $558 522%
S And H Farm Supply $558 522%
Schreiber Foods $558 522%
Shinesolar $558 522%
Springfield Public Schools $558 522%
Springfield Remanufacturing $558 522%
Trailiner $558 522%
UnitedHealthcare $558 522%
Webb City R-Vii School District (Tri-State Healthcare Coalition) $558 522%
Wellcare Health Plans $558 522%
Woodard Cleaning &Amp;#038; Restoration, Inc. $558 522%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5904 S Southwood Rd, Springfield, MO 65804
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL