CMS Price Transparency Data

X-ray, lower back

Facility: Gundersen Boscobel Area Hospital and Clinics

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$260
about 2.4× the $107 Medicare rate · typically $87–$394
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
Below the fair price — a good deal
about $135 under the fair price · 1.2× Medicare
Medicare pays $107 Fair price $260 This hospital $125 Cash price $372 Hospital's list price $736

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 $125

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $260 (about 2.4× the $107 Medicare rate). Gundersen Boscobel Area Hospital and Clinics charges insurers about $125, or about $372 in cash — below the fair price — a good deal. Located in Boscobel, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser 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
Blue Cross Blue Shieldmajor $125 - $765 117%
Cignamajor $604 565%
Humanamajor $361 - $626 338%
Amerigroup $24 22%
UCare $361 - $589 338%
+ 3 smaller / regional plans $125 - $611

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 205 Parker St, Boscobel, WI 53805
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals