CMS Price Transparency Data

X-ray, lower back

Facility: West Tennessee Healthcare Bolivar Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$112
about 1.0× the $107 Medicare rate · typically $58–$278
modeled estimate · not a bill or quote
What this hospital charges insurers
$122
About the fair price
about $10 over the fair price · 1.1× Medicare
Medicare pays $107 Fair price $112 This hospital $122 Cash price $272 Hospital's list price $905

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $38 Priciest $122

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

A fair price for a X-ray, lower back is about $112 (about 1.0× the $107 Medicare rate). West Tennessee Healthcare Bolivar Hospital charges insurers about $122, or about $272 in cash — about the fair price. Located in Bolivar, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $415 389%
Blue Cross Blue Shieldmajor $72 - $224 67%
Aetnamajor $624 - $794 584%
Cignamajor $225 211%
Oscar Health $165 154%
+ 2 smaller / regional plans $48 - $166
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 650 Nuckolls Road, Bolivar, TN 38008
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals