CMS Price Transparency Data

X-ray, lower back

Facility: Southeast Iowa Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $85
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Southeast Iowa Regional Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.80x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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%)
Insurance Median: $85 (80%)
Ins. Median: $85 (80% 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
American Healthplan Of Iowa - Midlevel $10 - $40 9%
Aetna $11 - $44 10%
Humana $12 - $48 11%
American Healthplan Of Iowa - Md $13 - $54 12%
Medicaid / KanCare $13 - $46 12%
Blue Cross Blue Shield $22 - $99 21%
UnitedHealthcare $24 - $96 22%
Midlands Choice $27 - $528 25%
Plain Church $62 - $382 58%
Immergrun $67 63%
6 Degree $85 - $470 80%
Absolute Solutions $86 - $242 81%
First Agency $86 - $242 81%
Multiplan $86 - $242 81%
Henderson County $91 - $256 85%
Elap $103 - $147 96%
Wellpoint (Amerigroup) $329 308%
Immugrun $370 346%
Brighton Amish Church $382 358%
Geha $546 511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals