CMS Price Transparency Data

X-ray, lower back

Facility: University Hospitals Samaritan Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $451
  • Cash Discount Price: $403
  • vs. Medicare Baseline: 4.22x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at University Hospitals Samaritan Medical Center is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $403. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.22x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$403

Average discount available for prompt cash payment at this facility.

Insurance Median
$451

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: $403 (377%)
Insurance Median: $451 (422%)
Cash: $403 (377% of Medicare)
Ins. Median: $451 (422% 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 422% of the Medicare baseline (a markup of 322%). 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 $95 - $461 89%
Blue Cross Blue Shield $95 - $485 89%
Cigna $95 - $495 89%
Devoted Health $95 89%
Humana $95 89%
Molina $95 89%
Primetime Health Plan $95 89%
Summacare $95 - $489 89%
The Health Plan $95 - $473 89%
UnitedHealthcare $95 - $495 89%
Wellcare By Allwell $95 89%
Paramount $98 92%
Perennial Advantage Of Ohio $100 94%
Valor Health Plans $100 94%
University Health Employee Plan (Contigo) $161 151%
Ambetter / Centene $171 160%
Caresource $171 160%
Medical Mutual Of Ohio $190 - $532 178%
Amish Aid Community Plan $247 231%
Amish Church Fund And Workers Aid Plan $247 231%
Buckeye Plain Ministries $247 231%
Christian Healthcare Ministries $268 251%
Immergrun $268 251%
Sunrise Plain Communities $268 251%
Medical Mutual Traditional/Health Ohio $376 352%
Beech Street $430 - $483 403%
Ohio Preferred Network $430 - $483 403%
First Health $446 418%
Century Health Network $456 427%
Ohio Health Choice $456 - $483 427%
Private Healthcare System $462 433%
Aultcare $483 452%
Clarity $483 452%
Configurenet $483 452%
Fortified Provider Network $483 452%
Healthsmart $483 452%
Jp Farley $483 452%
Multiplan $483 452%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals