CMS Price Transparency Data

X-ray, lower back

Facility: Mountrail County Medical Center Inc

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $329
  • Cash Discount Price: $329
  • vs. Medicare Baseline: 3.08x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mountrail County Medical Center Inc is $329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $329. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.08x the Medicare baseline. Located in 615 6Th St Se, Stanley, ND.
Cash / Self-Pay
$329

Average discount available for prompt cash payment at this facility.

Insurance Median
$329

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: $329 (308%)
Insurance Median: $329 (308%)
Cash: $329 (308% of Medicare)
Ins. Median: $329 (308% 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 308% of the Medicare baseline (a markup of 208%). 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
Nextblue $168 157%
UnitedHealthcare $168 157%
Aetna $274 257%
Provider Network Of America $292 273%
First Choice Health $329 308%
Health Partners $347 325%
Humana $347 325%
Sanford Health Plan $347 325%
Blue Cross Blue Shield $365 342%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 615 6Th St Se, Stanley, ND 58784
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals