CMS Price Transparency Data

X-ray, lower back

Facility: St Nicholas Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.9× the $107 Medicare rate · typically $81–$207
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $9 over the fair price · 1.0× Medicare
Medicare pays $107 Fair price $94 This hospital $103 Cash price $583 Hospital's list price $883

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $37 Priciest $103

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, lower back is about $94 (about 0.9× the $107 Medicare rate). St Nicholas Hospital charges insurers about $103, or about $583 in cash — about the fair price. Located in Sheboygan, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $102 - $496 95%
Blue Cross Blue Shieldmajor $24 - $160 22%
Aetnamajor $102 - $883 95%
Cignamajor $618 579%
Humanamajor $77 - $751 72%
Health Net $422 - $457 395%
Medica $102 - $103 95%
Meridian $24 - $25 22%
Molina $26 - $442 24%
Security Health Plan $41 - $564 38%
+ 15 smaller / regional plans $24 - $883
Government programs also on file: Medicare, Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3100 Superior Ave, Sheboygan, WI 53081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals