CMS Price Transparency Data

X-ray, lower back

Facility: Sparta Community Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.9× the $107 Medicare rate · typically $50–$293
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $95 Cash price $587 Hospital's list price $587

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $135 - $576 126%
Blue Cross Blue Shieldmajor $132 - $185 124%
Aetnamajor $95 - $688 89%
Cignamajor $645 604%
Humanamajor $835 782%
Molina $135 126%
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 818 E Broadway, Sparta, IL 62286
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals