CMS Price Transparency Data

X-ray, lower back

Facility: Southwest General Health Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $94
  • Cash Discount Price: $569
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Southwest General Health Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $569. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.88x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$569

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $569 (533%)
Insurance Median: $94 (88%)
Cash: $569 (533% of Medicare)
Ins. Median: $94 (88% 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
Buckeye $37 - $133 35%
Caresource $37 - $94 35%
Humana $37 - $296 35%
Molina $37 - $133 35%
UnitedHealthcare $37 - $410 35%
Amerihealth Caritas $39 - $94 37%
Medical Mutual $42 - $46 39%
Medical Mutual-Ohio $42 - $69 39%
Blue Cross Blue Shield $69 - $94 65%
Valor Health $69 65%
Healthsmart $243 228%
Health Design Plus $281 263%
Clarity Health $304 285%
Healthspan $304 285%
Healthsmart Preferred $342 320%
Ohio Health Choice Plus $367 344%
Summacare $410 384%
Aetna $411 385%
Cigna $415 389%
Coventry $524 491%
First Health $524 491%
Ohio Health Choice $587 550%
Private Healthare Systems $607 568%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals