CMS Price Transparency Data

X-ray, lower back

Facility: Perham Health

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $183
  • Cash Discount Price: $331
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Perham Health is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $331. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.71x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.
Cash / Self-Pay
$331

Average discount available for prompt cash payment at this facility.

Insurance Median
$183

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: $331 (310%)
Insurance Median: $183 (171%)
Cash: $331 (310% of Medicare)
Ins. Median: $183 (171% 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
Blue Cross Blue Shield $141 - $344 132%
Health Partners Mcr Adv $173 162%
Humana $173 162%
Medica Mcr Adv $173 162%
Medicare (plans) $173 - $192 162%
Ucare Mn Senior Health Options $173 162%
UnitedHealthcare $178 - $397 167%
Ucare Mn Special Needs Basic Care Dual $182 170%
Medicaid / KanCare $183 171%
Ucare Mn Medical Assistance $183 171%
Ucare Mn Minnesota Care $183 171%
Ucare Mn Senior Care Plus $183 171%
Ucare Mn Special Needs Basic Care $183 171%
Medica Mcaid Mn Care $186 174%
Medica Mn (Msho) $210 197%
Ucare Individual And Family Plan-All Other Plans $211 198%
Medica Mn Senior Hp/Outside Mn $232 217%
Health Partners Minnesota Care $254 238%
Medica Commercial-All Other Plans $373 349%
Preferred One (Pchp, Pic, Pas)-All Other Plans $382 358%
Health Partners-All Plans $417 390%
Preferred One (Ppo) $433 405%
Sanford Health Plan-All Plans $433 405%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Coney Street West, Perham, MN 56573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals