CMS Price Transparency Data

X-ray, lower back

Facility: Cass County Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $146
Cash Discount Price: $238
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Cass County Memorial Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.37x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $238 (223%)

Insurance Median: $146 (137%)

Cash: $238 (223% of Medicare)

Ins. Median: $146 (137% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Midlands Choice Medica Mcr	$68	64%
Wellmark Hmo	$109	102%
Wellmark Ppo - All Other Plans	$120	112%
Triwest - All Plans	$139	130%
Aetna	$143 - $323	134%
Amerigroup Mcr Adv - All Other Plans	$143	134%
Medica Mcr Adv	$143	134%
Tricare	$143	134%
UnitedHealthcare	$143 - $151	134%
Va Ccn - All Plans	$143	134%
Wellmark Mcr Adv	$144	135%
Iowa Total Care Mcaid	$146	137%
Iowa Total Care Mcr	$146	137%
Molina Mcaid - All Plans	$146	137%
American Hlth Mcr Adv - All Plans	$147	138%
Medicaid / KanCare	$147	138%
Iowa Total Care Comm - All Other Plans	$157	147%
Midlands Choice New Bus	$221	207%
Medica Comm - All Other Plans	$299	280%
Midlands Choice Pho (Ppo) - All Other Plans	$306	286%
Multiplan - All Plans	$323	302%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $238.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cass County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.