CMS Price Transparency Data

X-ray, lower back

Facility: Mercy Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $78
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mercy Medical Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.73x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $441 (413%)
Insurance Median: $78 (73%)
Cash: $441 (413% of Medicare)
Ins. Median: $78 (73% 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
Summacare $8 - $554 7%
Aetna $12 - $791 11%
Blue Cross Blue Shield $12 - $435 11%
Cigna $12 - $101 11%
Humana $12 - $98 11%
Mmo $12 - $554 11%
The Health Plan $12 - $679 11%
United $12 - $245 11%
Communicare $13 - $103 12%
Perennial Health $13 - $106 12%
Zing Health $13 - $108 12%
Aultcare $14 - $278 13%
Oscar $30 - $261 28%
Buckeye $39 - $47 37%
Caresource $39 - $47 37%
Amerihealth $41 - $51 38%
Molina $41 - $48 38%
Ohcp $44 - $330 41%
Omas $56 - $396 52%
Phphi $67 - $475 63%
Gms $78 - $554 73%
Immergrun $84 - $593 79%
Multiplan $101 - $712 95%
Cc Ehp $271 - $275 254%
Amish Community Aid Plan $306 - $340 286%
Ohio Healthy $367 344%
Php $407 381%
Medical Benefit Corp $475 445%
Consociate Health $509 477%
Frontpath $611 572%
Managed Care Services $611 572%
Tertiary Care Network $611 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals