CMS Price Transparency Data

X-ray, lower back

Facility: HSHS St Clare Memorial Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$115
about 1.1× the $107 Medicare rate · typically $74–$309
modeled estimate · not a bill or quote
What this hospital charges insurers
$160
Above the fair price
about $45 over the fair price · 1.5× Medicare
Medicare pays $107 Fair price $115 This hospital $160 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 $160

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 $115 (about 1.1× the $107 Medicare rate). HSHS St Clare Memorial Hospital charges insurers about $160, or about $583 in cash — above the fair price. Located in Oconto Falls, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $115. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $212 - $496 198%
Blue Cross Blue Shieldmajor $91 - $212 85%
Aetnamajor $212 - $883 198%
Cignamajor $552 517%
Humanamajor $212 - $751 198%
Health Net $457 428%
Meridian $91 85%
Molina $97 - $442 91%
Security Health Plan $214 - $564 200%
+ 16 smaller / regional plans $91 - $883
Government programs also on file: 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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 855 S Main St, Oconto Falls, WI 54154
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals