CMS Price Transparency Data

X-ray, lower back

Facility: Mercy Hospital of Buffalo

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $38
  • Cash Discount Price: $238
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mercy Hospital of Buffalo is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.36x the Medicare baseline. Located in 565 Abbott Road, Buffalo, NY.
Cash / Self-Pay
$238

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $238 (223%)
Insurance Median: $38 (36%)
Cash: $238 (223% of Medicare)
Ins. Median: $38 (36% 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
UnitedHealthcare $8 - $50 7%
Univera Healthcare Essential [100170] $10 - $42 9%
VA Veterans Affairs [700001] $10 - $50 9%
Univera Healthcare [100169] $10 - $60 9%
Medicaid / KanCare $10 - $99 9%
Ghi [100153] $11 - $47 10%
Independent Health Essential [100166] $11 - $119 10%
Amerigroup [350102] $11 - $68 10%
Vna Option Mltc [350110] $11 - $47 10%
Beacon Essential [350122] $11 - $60 10%
Tuscarora Nation [550120] $11 - $47 10%
Fidelis Essential [100163] $11 - $68 10%
Crime Victims [100176] $11 - $47 10%
Blue Cross Blue Shield $11 - $68 10%
Excellus Rochester McD [350117] $11 - $47 10%
Cigna $12 - $72 11%
Hospice [550001] $12 - $50 11%
Medicare (plans) $12 - $143 11%
Champ VA [700002] $12 - $50 11%
Covid19 Hrsa [45013] $12 - $50 11%
Wellcare Fidelis Dual [450451] $12 - $52 11%
Catholic Health Life Pace [400005] $12 - $50 11%
Aetna $12 - $52 11%
Fallon Health [450115] $12 - $50 11%
Humana $12 - $52 11%
Seneca Nation [450119] $12 - $50 11%
Magnacare [100142] $12 - $50 11%
Meritain [100063] $12 - $50 11%
Tricare $12 - $50 11%
Fidelis Dual Advantage [450120] $12 - $52 11%
Wellcare [450129] $13 - $55 12%
Iha First Choice [800001] $13 - $242 12%
Independent Health [100165] $13 - $237 12%
Beacon Health Options [100023] $14 - $60 13%
Fidelis Exchange [100164] $14 - $59 13%
UPMC Health Plan [100181] $16 - $89 15%
Mvp Healthcare [100168] $16 - $58 15%
Molina Essential [100167] $25 - $105 23%
Federal Workers Compensation [500100] $45 - $113 42%
No Fault [114001] $45 - $113 42%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals