CMS Price Transparency Data
X-ray, lower back
Facility: Diley Ridge Medical Center
Billing Code: 72110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72110
- Insurance Median: $271
- Cash Discount Price: $377
- vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Diley Ridge Medical Center is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $377. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.54x the Medicare baseline. Located in 7911 Diley Road, Canal Winchester, OH.
Cash / Self-Pay
$377
Average discount available for prompt cash payment at this facility.
Insurance Median
$271
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: $377 (353%)
Insurance Median: $271 (254%)
Cash: $377 (353% of Medicare)
Ins. Median: $271 (254% 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 254% of the Medicare baseline (a markup of 154%). 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 |
|---|---|---|
| Medicare (plans) | $89 - $106 | 83% |
| Aetna | $99 - $580 | 93% |
| Blue Cross Blue Shield | $99 - $580 | 93% |
| Hospice Mount Carmel | $101 | 95% |
| Oscar | $101 | 95% |
| UnitedHealthcare | $101 - $323 | 95% |
| The Health Plan | $103 - $381 | 96% |
| Enterprise Group Planning | $195 | 183% |
| Custom Design Benefits | $211 | 198% |
| Quality Care Partners | $228 | 213% |
| Geha | $260 - $323 | 243% |
| Gravie Admin Services | $260 | 243% |
| Healthez | $260 | 243% |
| Meritain | $260 | 243% |
| Webtpa | $260 | 243% |
| American Postal Workers Secondary | $261 | 244% |
| Cigna | $261 | 244% |
| Health Partners | $261 | 244% |
| Healthgram | $261 | 244% |
| Mvp | $261 | 244% |
| Priority Health | $261 | 244% |
| Access Health | $271 | 254% |
| Acclaim | $271 | 254% |
| Administrative Concepts | $271 | 254% |
| Allegeant | $271 | 254% |
| Allied Benefit Systems | $271 | 254% |
| American Family | $271 | 254% |
| American Healthcare Alliance | $271 | 254% |
| American National | $271 | 254% |
| American Republic | $271 | 254% |
| Amerihealth | $271 | 254% |
| Aultcare | $271 | 254% |
| Automated Benefit Services | $271 | 254% |
| Auxiant | $271 | 254% |
| Benefit Administrative Systems,Llc | $271 | 254% |
| Boon Chapman | $271 | 254% |
| Cam Administrative Services | $271 | 254% |
| Christian Brother Services | $271 | 254% |
| Christian Brothers Holy Cross | $271 | 254% |
| Claimchoice Adminstrators | $271 | 254% |
| Comprehensive Benefits | $271 | 254% |
| Continental Life Insurance | $271 | 254% |
| Coventry | $271 | 254% |
| Custom Benefit Administrators | $271 | 254% |
| Cypress Benefit Administrators | $271 | 254% |
| Employee Benefit Concepts | $271 | 254% |
| Employee Benefit Management | $271 | 254% |
| Forest County Potawatomi | $271 | 254% |
| Freedom Life Insurance Company | $271 | 254% |
| Group Administrators | $271 | 254% |
| Group Marketing Services | $271 | 254% |
| Group Pension Administrators | $271 | 254% |
| Guardian | $271 | 254% |
| Health America | $271 | 254% |
| Health Choices | $271 | 254% |
| Healthcare Management Admin | $271 | 254% |
| Insight | $271 | 254% |
| Intercare | $271 | 254% |
| Jfp Benefit Management | $271 | 254% |
| Jp Farley Corporation | $271 | 254% |
| Key Benefit Administrator | $271 | 254% |
| Liberty Union Life Assurance Co | $271 | 254% |
| Lucent Health | $271 | 254% |
| Luminare Health | $271 | 254% |
| Magnacare | $271 | 254% |
| Medcost | $271 | 254% |
| Mutual Health Services | $271 | 254% |
| Mutual Of Omaha | $271 | 254% |
| Ncas | $271 | 254% |
| Nippon Life Ins | $271 | 254% |
| Nova | $271 | 254% |
| Painters Union Insurance Fund | $271 | 254% |
| Physicians Mutual | $271 | 254% |
| Plumbers Local 98 Insurance Fund | $271 | 254% |
| Prairie States | $271 | 254% |
| Preferred One | $271 | 254% |
| Primary Physician Care | $271 | 254% |
| Professional Benefit Administrators | $271 | 254% |
| Secureone Preferred United Plans | $271 | 254% |
| Siho Insurance Services | $271 | 254% |
| Sisco Benefits | $271 | 254% |
| The Loomis Company | $271 | 254% |
| Trustmark Small Business Benefits | $271 | 254% |
| U Of M Health Plan | $271 | 254% |
| Unicare | $271 | 254% |
| Unified Group Services | $271 | 254% |
| Us Health And Life | $271 | 254% |
| Valenz | $271 | 254% |
| Varipro | $271 | 254% |
| Wps | $271 | 254% |
| Rural Carrier Health Benefit Plan | $273 | 256% |
| Medben | $290 - $435 | 272% |
| Humana | $297 - $580 | 278% |
| First Health | $306 | 286% |
| Consociate | $354 | 331% |
| Health Ohio Network | $354 | 331% |
| Blue Benefit Administrators Of Massachusetts | $376 | 352% |
| Blue Care Network | $376 | 352% |
| Blue Distinction Transplant | $376 | 352% |
| Blue Shield - Ca | $376 | 352% |
| Blue Shield - Id (Regence) | $376 | 352% |
| Blue Shield - Ny Highmark Northeastern | $376 | 352% |
| Blue Shield - Ny Highmark Western | $376 | 352% |
| Blue Shield - Pa (Highmark) | $376 | 352% |
| Blue Shield - Wa (Regence) | $376 | 352% |
| Caresource | $423 | 396% |
| Healthlink Inc | $435 | 407% |
| Luminare Health (Detroit) | $435 | 407% |
| Medical Benefits Mutual | $435 | 407% |
| Ohio Health Choice | $435 | 407% |
| Ohio Ppo Connect | $435 | 407% |
| Osu Not Independent Choice | $435 | 407% |
| Medical Mutual | $441 | 413% |
| Medi Share | $463 | 433% |
| Multiplan | $463 | 433% |
| Phcs | $463 | 433% |
| Philadelphia American Life Insurance | $463 | 433% |
| Ameriben | $464 | 434% |
| Ohiohealthy | $464 | 434% |
| Twin Valley Psychiatric | $464 | 434% |
| Health Smart | $493 | 462% |
| Bccp | $580 | 543% |
| Medicaid / KanCare | $580 | 543% |
| Optima Health | $580 | 543% |
| Crime Victim Assistance | $632 | 592% |
| Ohio Safe Program | $632 | 592% |