CMS Price Transparency Data

X-ray, lower back

Facility: Ascension Sacred Heart Rehabilitation Hospital

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$102
about 1.0× the $107 Medicare rate · typically $38–$225
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
Below the fair price — a good deal
about $11 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $102 This hospital $91

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 $91

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 $102 (about 1.0× the $107 Medicare rate). Ascension Sacred Heart Rehabilitation Hospital charges insurers about $91 — below the fair price — a good deal. Located in Mequon, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $35 - $245 33%
Humanamajor $35 - $245 33%
+ 3 smaller / regional plans $21 - $245

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: 13111 N Port Washington Rd, Mequon, WI 53097
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL