CMS Price Transparency Data

X-ray, lower back

Facility: Cherokee Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $181
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Cherokee Regional Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $163 (153%)
Insurance Median: $181 (169%)
Cash: $163 (153% of Medicare)
Ins. Median: $181 (169% 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 $96 - $181 90%
Blue Cross Blue Shield $96 - $181 90%
Health Partners $96 - $181 90%
Humana $96 - $181 90%
UnitedHealthcare $96 - $181 90%
Wellpoint $96 - $181 90%
Iowa Total Care $100 - $181 94%
Molina $100 - $181 94%
Admin Concepts $181 169%
American Republic $181 169%
Apw $181 169%
Auxiant $181 169%
Avera $181 169%
Bankers Life $181 169%
Champus $181 169%
Cigna $181 169%
Liability $181 169%
Meridian $181 169%
Meritain $181 169%
Midlands $181 169%
Mutual Of Omaha $181 169%
Occunet $181 169%
Physicians Mutual $181 169%
Private Healthcare $181 169%
Sanford $181 169%
United American $181 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals