CMS Price Transparency Data

X-ray, lower back

Facility: Franklin General Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $189
  • Cash Discount Price: $403
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Franklin General Hospital is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $403. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.77x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.
Cash / Self-Pay
$403

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

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: $403 (377%)
Insurance Median: $189 (177%)
Cash: $403 (377% of Medicare)
Ins. Median: $189 (177% 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
Wellmark Hmo $60 56%
Wellmark Ppo - All Other Plans $65 61%
Medical Associates Mcare $179 168%
Mount Carmel Hp-All Plans $179 168%
Tricare $179 168%
UnitedHealthcare $179 - $372 168%
Amerigroup Mcare $181 169%
Wellmark Mcr Adv $181 169%
Molina Mcare $186 174%
Ambetter / Centene $187 - $287 175%
American Hp Iowa - All Plans $188 176%
Amerigroup Mcaid - All Other Plans $189 177%
Molina Mcaid - All Other Plans $190 178%
Centivo - All Plans $269 252%
Medical Ass Hosp Employer Group $269 252%
Oscar - All Plans $269 252%
Midlands Choice-All Plans $314 294%
Medical Associates Hp-All Other Plans $381 357%
Preferred Health Choices-All Plans $381 357%
Splashlight Llc-All Plans $381 357%
Aetna $417 - $426 390%
Multiplan-All Plans $426 399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1720 Central Avenue East, Hampton, IA 50441
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals