CMS Price Transparency Data

X-ray, lower back

Facility: Sanford Tracy Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $741
Cash Discount Price: $710
vs. Medicare Baseline: 6.94x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Sanford Tracy Medical Center is $741. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $710. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.94x the Medicare baseline. Located in 251 Fifth Street East, Tracy, MN.

Cash / Self-Pay

$710

Average discount available for prompt cash payment at this facility.

Insurance Median

$741

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: $710 (665%)

Insurance Median: $741 (694%)

Cash: $710 (665% of Medicare)

Ins. Median: $741 (694% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 694% of the Medicare baseline (a markup of 594%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Ucare	$112 - $780	105%
Blue Cross Blue Shield	$215 - $822	201%
Sanford Health Plan Align	$346	324%
Wellmark Sd	$371	347%
Aetna	$375 - $772	351%
Health Partners	$375 - $710	351%
Medicare (plans)	$375	351%
UnitedHealthcare	$375 - $741	351%
Primewest	$382 - $430	358%
Security Health Plan	$488	457%
Sanford Health Plan	$701 - $825	656%
Medica	$781 - $840	731%
Cigna	$799	748%
First Choice Health Network	$799	748%
Healthez	$799	748%
Multiplan	$799	748%

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 $710.
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 Sanford Tracy Medical Center 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.