CMS Price Transparency Data

X-ray, lower back

Facility: Fisher-Titus Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $310
Cash Discount Price: $401
vs. Medicare Baseline: 2.90x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Fisher-Titus Hospital is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $401. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.90x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$401

Average discount available for prompt cash payment at this facility.

Insurance Median

$310

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: $401 (375%)

Insurance Median: $310 (290%)

Cash: $401 (375% of Medicare)

Ins. Median: $310 (290% 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 290% of the Medicare baseline (a markup of 190%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Perennial Advantage	$12 - $105	11%
Sidecar	$12 - $309	11%
UnitedHealthcare	$12 - $405	11%
Blue Cross Blue Shield	$35 - $405	33%
Caresource	$35 - $100	33%
Amerihealth	$36	34%
Buckeye	$36 - $100	34%
Molina	$36	34%
Aetna	$100 - $387	94%
Medical Mutual Of Ohio	$100 - $259	94%
Paramount	$100 - $400	94%
Summacare	$100 - $392	94%
Wellcare	$100	94%
Zing Health	$100	94%
Valor Health	$103	96%
Health Ohio Network	$312	292%
Tricare	$334 - $356	313%
Cigna	$356	333%
Claimsdoc	$356	333%
First Health	$400	374%
Multiplan	$400	374%
Ohio Health Choice	$400	374%
Healthscope	$405	379%
Emerald Health	$432	404%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $401.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fisher-Titus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.