CMS Price Transparency Data
X-ray, lower back
Facility: CHI St Alexius Health Devils Lake
Billing Code: 72110 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$173
about 1.6× the $107 Medicare rate · typically $56–$400
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $173 Cash price $164 Hospital's list price $391
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $285 - $325 | 267% |
| Blue Cross Blue Shieldmajor | $152 - $207 | 142% |
| HealthPartners | $371 | 347% |
| Medica | $149 - $360 | 140% |
| Sanford Health Plan | $282 | 264% |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at CHI St Alexius Health Devils Lake
Compare: X-ray, lower back at other ND hospitals
- Trinity Kenmare Community Hospital · Kenmare $29
- PAM Rehabilitation Hospital of Fargo · Fargo $39
- Essentia Health · Fargo $106
- Trinity Hospitals · Minot $107
- Sanford Medical Center Fargo · Fargo $110
- Sanford Medical Center Bismarck · Bismarck $110
- Altru Hospital · Grand Forks $118
- CHI St Alexius Health Williston · Williston $130
Insurance negotiated median for the same procedure, sorted lowest first.