CMS Price Transparency Data

X-ray, lower back

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 72110 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$235
about 2.2× the $107 Medicare rate · typically $48–$600
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $235 Cash price $625 Hospital's list price $1,075

How we calculate the fair BaseRate →

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 $570 - $751 534%
Blue Cross Blue Shieldmajor $147 - $765 138%
Aetnamajor $1,021 956%
Cignamajor $882 826%
Humanamajor $914 856%
Amerigroup $24 22%
Quartz $586 549%
Security Health Plan $211 198%
UCare $559 - $860 523%
+ 4 smaller / regional plans $147 - $1,850
Excludes 1 rental-network / third-party entry (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: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals