CMS Price Transparency Data

X-ray, lower back

Facility: Madison County Health Care System

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $163
  • Cash Discount Price: $295
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Madison County Health Care System is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.53x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$295

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $295 (276%)
Insurance Median: $163 (153%)
Cash: $295 (276% of Medicare)
Ins. Median: $163 (153% 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
Aetna $12 - $376 11%
Choicecare-All Plans $12 - $550 11%
Medical Associates Hp - All Plans $12 - $249 11%
Medigold-All Plans $12 - $249 11%
Medimore Employee Hp - All Plans $12 - $567 11%
Tricare $12 - $249 11%
UnitedHealthcare $12 - $521 11%
American Hp Mcr Adv-All Plans $13 - $261 12%
Oscar - All Plans $20 - $373 19%
Blue Cross Blue Shield $24 - $65 22%
Midlands Choice - All Plans $26 - $567 24%
Madison County Sheriff-All Plans $80 - $290 75%
Corvel Wc-All Plans $143 - $521 134%
First Choice-All Plans $151 - $550 141%
First Health-All Plans $151 - $550 141%
Integrated Hp-All Plans $151 - $550 141%
Mutual Of Omaha-All Plans $151 - $550 141%
Plaines Health-All Plans $151 - $550 141%
Preferred Hlth Ntwork-All Plans $151 - $550 141%
Principal Healthcare-All Plans $151 - $550 141%
Usa Managed Care-All Plans $151 - $550 141%
Benefit Admin Of America-All Plans $159 - $579 149%
Iowa Total Care Mcaid-All Plans $159 - $272 149%
Molina Mcaid/Chip -All Plans $163 - $282 153%
Amerigroup Mcaid-All Plans $169 - $288 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals