CMS Price Transparency Data

X-ray, lower back

Facility: Essentia Health

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $157
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Essentia Health is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.47x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$157

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: $221 (207%)
Insurance Median: $157 (147%)
Cash: $221 (207% of Medicare)
Ins. Median: $157 (147% 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
Medica Access $79 74%
Advocare/Security Health $106 99%
Blue Cross Blue Shield $106 - $251 99%
Freedom Blue Ppo $106 99%
Healthpartners Care Msho / Mcr Adv $106 99%
Imcare Msho Pcc Prime $106 99%
Imcare Msho Ref Req $106 99%
Itasca Med Care $106 99%
Medica Advantage Solutions $106 99%
Medica Msho/Dual Solutions $106 99%
Medica Prime Solution Group $106 99%
Medicare (plans) $106 99%
Nd Va Administration $106 99%
Platinum Blue/Vantage Blue $106 99%
Primewest $106 99%
Primewest Msho $106 99%
Secure Blue Msho $106 99%
Ubh Cost Plan $106 99%
Ubh Msho $106 99%
Ucare Msho $106 99%
UnitedHealthcare $106 - $234 99%
Healthpartners Care Pmap $114 107%
Sanford Health Plan $126 - $188 118%
Medica $163 - $181 153%
Medica Uplan $163 153%
Medica Choice $186 174%
Ucare $193 181%
Cigna $197 184%
Healthpartners $197 184%
Healthpartners Pcc Prime $197 184%
Wea $212 - $226 198%
America'S Ppo $228 213%
Wps $244 - $247 228%
Aetna $250 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals