CMS Price Transparency Data

X-ray, lower back

Facility: Essentia Health Virginia

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $213
  • Cash Discount Price: $311
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Essentia Health Virginia is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $311. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.99x the Medicare baseline. Located in 901 9Th Street North, Virginia, MN.
Cash / Self-Pay
$311

Average discount available for prompt cash payment at this facility.

Insurance Median
$213

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: $311 (291%)
Insurance Median: $213 (199%)
Cash: $311 (291% of Medicare)
Ins. Median: $213 (199% 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
Advocare/Security Health $104 97%
Blue Cross Blue Shield $104 - $391 97%
Freedom Blue Ppo $104 97%
Healthpartners Care Msho / Mcr Adv $104 97%
Imcare Msho Pcc Prime $104 97%
Imcare Msho Ref Req $104 97%
Medica Advantage Solutions $104 97%
Medica Msho/Dual Solutions $104 97%
Medica Prime Solution Group $104 97%
Medicare (plans) $104 97%
Nd Va Administration $104 97%
Platinum Blue/Vantage Blue $104 97%
Primewest Msho $104 97%
Secure Blue Msho $104 97%
Ubh Cost Plan $104 97%
Ubh Msho $104 97%
Ucare Msho $104 97%
UnitedHealthcare $104 - $436 97%
Itasca Med Care $106 99%
Primewest $106 99%
Medica Access $114 107%
Sanford Healthplan $188 - $213 176%
Healthpartners Care Pmap $197 184%
Blue Plus Pmap Pcc Prime $233 218%
Medica $316 - $351 296%
Medica Uplan $316 296%
Ucare $326 305%
Healthpartners $354 - $448 331%
Wea $357 - $382 334%
Medica Choice $362 339%
Security Health $382 358%
America'S Ppo $384 360%
Wps $417 390%
Aetna $422 395%
Cigna $448 419%
Healthpartners Pcc Prime $448 419%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals