CMS Price Transparency Data

X-ray, lower back

Facility: Monroe County Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $205
  • Cash Discount Price: $249
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Monroe County Hospital is $205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.92x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.
Cash / Self-Pay
$249

Average discount available for prompt cash payment at this facility.

Insurance Median
$205

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: $249 (233%)
Insurance Median: $205 (192%)
Cash: $249 (233% of Medicare)
Ins. Median: $205 (192% 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 $73 68%
Wellmark Ppo - All Other Plans $78 73%
Mahp Mcare - All Plans $174 163%
Tricare $174 163%
UnitedHealthcare $174 - $394 163%
Va Ccn - All Plans $174 163%
Amerigroup Mcare $176 165%
Humana $176 165%
Wellmark Mcare $176 165%
Aetna $178 - $390 167%
Iowa Total Care Mcaid - All Plans $207 194%
Molina Mcaid - All Plans $210 197%
Amerigroup Mcaid - All Other Plans $214 200%
Centivo - All Plans $261 244%
Midlands Choice - All Plans $290 272%
Preferred Hlth - All Plans $311 291%
Geha - All Plans $332 311%
Multiplan - All Plans $374 350%
Integrated Hp - All Plans $403 377%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6580 165Th Street, Albia, IA 52531
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals