CMS Price Transparency Data

X-ray, lower back

Facility: CHI Health Plainview Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$204
about 1.9× the $107 Medicare rate · typically $109–$393
modeled estimate · not a bill or quote
What this hospital charges insurers
$289
Above the fair price
about $85 over the fair price · 2.7× Medicare
Medicare pays $107 Fair price $204 This hospital $289 Cash price $347 Hospital's list price $414

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $289

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $204 (about 1.9× the $107 Medicare rate). CHI Health Plainview Hospital charges insurers about $289, or about $347 in cash — above the fair price. Located in Plainview, NE.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $204. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $61 - $691 57%
Blue Cross Blue Shieldmajor $61 - $691 57%
Humanamajor $61 - $443 57%
Ambetter (Centene) $62 - $473 58%
Amerigroup $64 - $466 60%
Medica $61 - $698 57%
Molina $68 - $491 64%
+ 9 smaller / regional plans $61 - $985
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: P O Box 489, 704 North Third St, Plainview, NE 68769
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals