CMS Price Transparency Data

X-ray, lower back

Facility: Veterans Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $188
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Veterans Memorial Hospital is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.76x the Medicare baseline. Located in 40 1St Street Se, Waukon, IA.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$188

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: $247 (231%)
Insurance Median: $188 (176%)
Cash: $247 (231% of Medicare)
Ins. Median: $188 (176% 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
Humana $10 - $328 9%
Aetna $12 - $292 11%
Amerigroup Mcr Adv $12 - $188 11%
Iowa Total Care Exchange $12 - $188 11%
Molina Mcr Adv $12 - $188 11%
Quartz Mcr Adv $12 - $188 11%
Welmark Mcr Adv $12 - $188 11%
Wellmark Hmo - All Other Plans $61 57%
Quartz Comm - All Other Plans $65 - $328 61%
Wellmark Ppo $67 63%
Amerigroup Mcaid - All Other Plans $107 - $428 100%
Iowa Total Care Mcr Adv $188 176%
Medica Mcr Adv $188 176%
UnitedHealthcare $188 - $371 176%
Iowa Total Care Mcaid - All Other Plans $223 - $428 209%
Molina Mcaid - All Other Plans $223 - $428 209%
Medica Comm - All Other Plans $277 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals