CMS Price Transparency Data

X-ray, lower back

Facility: Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $104
  • Cash Discount Price: $518
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Memorial Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $518. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.
Cash / Self-Pay
$518

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $518 (485%)
Insurance Median: $104 (97%)
Cash: $518 (485% of Medicare)
Ins. Median: $104 (97% 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
Aetna $44 - $736 41%
Summacare $44 - $438 41%
Blue Cross Blue Shield $48 - $520 45%
Paramount Healthcare Inc $48 - $446 45%
Buckeye Community Health Plan $49 - $442 46%
Frontpath $49 - $487 46%
Health Alliance Plan $49 - $518 46%
Humana $49 - $598 46%
Molina Healthcare Of Ohio $49 - $920 46%
Caresource $50 - $222 47%
UnitedHealthcare $54 - $630 51%
Cigna $56 - $556 52%
Meridian Health Plan Of Mi $57 - $598 53%
Amerihealth $67 - $114 63%
Health Ohio Network $67 - $550 63%
Medical Mutual Of Ohio $158 - $532 148%
Multiplan $158 - $717 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 South Taft Avenue, Fremont, OH 43420
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals