CMS Price Transparency Data

X-ray, lower back

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $58
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Cincinnati Children's Hospital Medical Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.54x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $134 (125%)
Insurance Median: $58 (54%)
Cash: $134 (125% of Medicare)
Ins. Median: $58 (54% 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
Blue Cross Blue Shield $8 - $447 7%
Caresource_In $9 - $32 8%
Mhs_In $9 - $30 8%
Aetna $10 - $432 9%
Passport_Ky $10 - $118 9%
Humana $11 - $114 10%
United_Health_Care_Ky $11 - $120 10%
Wellcare_Ky $11 - $120 10%
Caresource_Oh $20 - $85 19%
Amerihealth_Caritas_Oh $21 - $92 20%
Molina_Oh $21 - $93 20%
Buckeye_Oh $22 - $97 21%
United_Health_Care_Oh $24 - $89 22%
Caresource_Oh_Insurance $33 - $218 31%
Medical_Mutual_Of_Ohio_Insurance $37 - $432 35%
Parkview_Signature_Care_Insurance $42 - $355 39%
Point_Comfort_Insurance $45 - $296 42%
Margaret_Mary_Health_Insurance $46 - $355 43%
United_Health_Care_Insurance $53 - $408 50%
Beechstreet_Insurance $56 - $446 52%
Cigna $56 - $432 52%
Health_Ohio_Network_Insurance $63 - $432 59%
Custom_Design_Benefits_Insurance $66 - $432 62%
Health_Smart_Preferred_Insurance $66 - $432 62%
Medical_Benefit_Administrators_Insurance $66 - $432 62%
Ohio_Health_Choice_Insurance $66 - $432 62%
Private_Health_Care_Systems_Insurance $66 - $437 62%
First_Health_Group_Insurance $68 - $446 64%
Health_Link_Insurance $68 - $446 64%
Evolutions_Health_Care_Systems $69 - $455 65%
Galaxy_Health_Insurance $69 - $455 65%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens