CMS Price Transparency Data

X-ray, lower back

Facility: Sanford Bagley Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $668
  • Cash Discount Price: $627
  • vs. Medicare Baseline: 6.25x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Sanford Bagley Medical Center is $668. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $627. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.25x the Medicare baseline. Located in 203 4Th Street Northwest, Bagley, MN.
Cash / Self-Pay
$627

Average discount available for prompt cash payment at this facility.

Insurance Median
$668

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: $627 (587%)
Insurance Median: $668 (625%)
Cash: $627 (587% of Medicare)
Ins. Median: $668 (625% 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 625% of the Medicare baseline (a markup of 525%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ucare $112 - $689 105%
Blue Cross Blue Shield $190 - $725 178%
Sanford Health Plan Align $358 335%
Health Partners $387 - $635 362%
Medicare (plans) $387 362%
UnitedHealthcare $387 - $655 362%
Primewest $395 - $423 370%
Aetna $420 - $681 393%
Security Health Plan $431 404%
Sanford Health Plan $619 - $728 580%
Medica $689 - $742 645%
Cigna $706 661%
First Choice Health Network $706 661%
Healthez $706 661%
Multiplan $706 661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 203 4Th Street Northwest, Bagley, MN 56621
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals