CMS Price Transparency Data

X-ray, lower back

Facility: Boone County Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $87
  • Cash Discount Price: $279
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Boone County Hospital is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $279. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.81x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$279

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $279 (261%)
Insurance Median: $87 (81%)
Cash: $279 (261% of Medicare)
Ins. Median: $87 (81% 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
Amerigroup Mcr Adv - All Other Plans $38 - $251 36%
Choice Care Mcr Adv - All Plans $38 - $248 36%
Humana $38 - $544 36%
Iowa Hlth Adv - All Plans $38 - $248 36%
Mt Carmel Hp - All Plans $38 - $248 36%
UnitedHealthcare $38 - $355 36%
Va Ccn-All Plans $38 - $248 36%
Aetna $39 - $472 37%
Meridian Mcaid - All Plans $41 - $272 38%
Iowa Total Care Mcaid - All Plans $42 - $278 39%
Medicaid / KanCare $43 - $280 40%
Wellmark Hmo $58 54%
Healthsmart Accell Network $64 - $423 60%
Wellmark Ppo - All Other Plans $64 60%
Medical Associates Hp-All Plans $69 - $454 65%
Healthsmart Ppo - All Other Plans $74 - $484 69%
Health Alliance-All Plans $83 - $544 78%
Midlands Choice-All Plans $85 - $557 80%
Mutually Preferred-All Plans $87 - $575 81%
Tricare $107 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals