X-ray, lower back
Facility: Oakleaf Surgical Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $104
- Cash Discount Price: $358
- vs. Medicare Baseline: 0.97x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $104 | 97% |
| Dean Health Plan | $104 | 97% |
| Group Health Cooperative Of Eau Claire | $104 | 97% |
| Healthpartners | $104 | 97% |
| Humana | $104 | 97% |
| Medica | $104 | 97% |
| Quartz Health Solutions | $104 | 97% |
| Security Health Plan Of Wi | $104 - $876 | 97% |
| Ucare Wi | $104 | 97% |
| UnitedHealthcare | $104 | 97% |
| Alliance | $259 | 242% |
Consumer Guidance & Cost Commentary
Oakleaf Surgical Hospital, located at 1000 Oakleaf Way in Altoona, Wisconsin, provides an X-ray for the lower back with a cash median rate of $358. This cash price is notably higher than the facility's negotiated rate of $104, which remains consistent across all 11 insurance payers listed, including Blue Cross Blue Shield, UnitedHealthcare, and Humana. While the facility operates as a physician-owned acute care hospital in Wisconsin, the data indicates no specific state or county average figures were provided for comparison in this report.
For patients with high-deductible plans, the cash price of $358 may represent a more affordable option if the insurance negotiated rate of $104 exceeds the patient's out-of-pocket threshold, as commercial rates often include administrative overheads that can inflate the final cost. Although the facility does not currently list a self-pay or prompt-pay discount in the provided data, consumers are encouraged to contact the billing department directly to inquire about potential fee reductions for upfront payments. Additionally, patients should request an itemized bill to verify that all charges align with the service rendered and to ensure no unbundled codes or services not received have been included in the final invoice.