CMS Price Transparency Data

X-ray, lower back

Facility: Howard County Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $147
  • Cash Discount Price: $607
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Howard County Medical Center is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $607. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.38x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$607

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $607 (568%)
Insurance Median: $147 (138%)
Cash: $607 (568% of Medicare)
Ins. Median: $147 (138% 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
Aetna $12 - $577 11%
Medica Standard Premier $12 - $47 11%
Medica Elevate $23 - $92 22%
Midland'S Choice $24 - $97 22%
Humana $40 37%
Blue Cross Blue Shield $47 - $577 44%
Great Plains $47 - $346 44%
Medica Chi $47 - $346 44%
Tricare $47 - $455 44%
UnitedHealthcare $47 - $583 44%
Nebraska Total Care - Wellcare $48 45%
Molina Healthcare $49 - $304 46%
Oscar Health $82 77%
Ambetter / Centene $93 87%
Beshp $93 87%
Nebraska Total Care $304 285%
Medica Chi Aco $552 517%
Medica Choice National $552 517%
Medica Ifb Aco $583 546%
Medica Ifb Open Access $583 546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals