CMS Price Transparency Data

X-ray, lower back

Facility: Marshfield Medical Center - Weston

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $416
  • Cash Discount Price: $439
  • vs. Medicare Baseline: 3.89x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Marshfield Medical Center - Weston is $416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.89x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.
Cash / Self-Pay
$439

Average discount available for prompt cash payment at this facility.

Insurance Median
$416

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: $439 (411%)
Insurance Median: $416 (389%)
Cash: $439 (411% of Medicare)
Ins. Median: $416 (389% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 389% of the Medicare baseline (a markup of 289%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Security Health Plan (Shp) $203 - $279 190%
Family Health Center (Fhc) $231 216%
The Alliance $245 - $1,945 229%
Amish/Mennonite $254 238%
Sanford Health Plan $254 238%
Blue Cross Blue Shield $272 - $309 255%
Group Health Cooperative Of Eau Claire $379 - $416 355%
UnitedHealthcare $382 358%
Besse Forest Products $393 368%
Molina Healthcare Of Wi $393 368%
Rice Lake School District $393 368%
Wps Health Insurance $409 - $446 383%
Medica Of Wi $431 - $440 404%
Cigna $434 406%
Healtheos By Multiplan Inc. $434 - $439 406%
Corvel $439 411%
First Health $439 411%
Health Partners $439 411%
Three Rivers Provider Network (Trpn) $439 411%
Trilogy $441 - $444 413%
Coventry $444 416%
Health Smart $444 416%
Rising Medical Work Comp $448 419%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Ministry Parkway, Weston, WI 54476
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals