CMS Price Transparency Data

X-ray, lower back

Facility: Columbus Community Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $292
  • Cash Discount Price: $542
  • vs. Medicare Baseline: 2.73x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Columbus Community Hospital is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $542. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.73x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.
Cash / Self-Pay
$542

Average discount available for prompt cash payment at this facility.

Insurance Median
$292

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: $542 (507%)
Insurance Median: $292 (273%)
Cash: $542 (507% of Medicare)
Ins. Median: $292 (273% 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 273% of the Medicare baseline (a markup of 173%). 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
Blue Cross Blue Shield $98 - $759 92%
Dean Health Plan $98 - $576 92%
Icare $98 - $286 92%
My Choice Wisconsin $98 - $107 92%
Quartz $98 - $648 92%
Security Health Plan $98 - $736 92%
UnitedHealthcare $98 - $818 92%
Alliance $299 280%
Cigna $590 552%
Health Payment Systems $740 693%
Trilogy $809 757%
Wps $830 777%
Healtheos $858 - $917 803%
First Health $868 813%
Humana $887 830%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Park Ave, Columbus, WI 53925
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals