CMS Price Transparency Data
X-ray, lower back
Facility: Memorial Hospital of Lafayette County
Billing Code: 72110 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$69
about 0.6× the $107 Medicare rate · typically $14–$255
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $69 Cash price $522 Hospital's list price $652
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $14 - $424 | 13% |
| Blue Cross Blue Shieldmajor | $14 - $528 | 13% |
| Aetnamajor | $14 - $424 | 13% |
| Humanamajor | $14 - $619 | 13% |
| Dean Health Plan | $14 - $625 | 13% |
| Quartz | $14 - $440 | 13% |
| + 3 smaller / regional plans | $14 - $554 |
Government programs also on file: Medicaid.
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Other Procedures at Memorial Hospital of Lafayette County
Compare: X-ray, lower back at other WI hospitals
- Fort Memorial Hospital · Fort Atkinson $37
- Richland Hospital · Richland Center $42
- Tomah Memorial Hospital · Tomah $46
- Unitypoint Health - Meriter · Madison $51
- Black River Memorial Hospital · Black River Falls $53
- Beloit Health System · Beloit $61
- Upland Hills Health · Dodgeville $75
- Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $91
Insurance negotiated median for the same procedure, sorted lowest first.