CMS Price Transparency Data

X-ray, lower back

Facility: Sheridan Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $81
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Sheridan Memorial Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.76x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $68 (64%)
Insurance Median: $81 (76%)
Cash: $68 (64% of Medicare)
Ins. Median: $81 (76% 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.

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
Humana $13 - $114 12%
Medi-Share Profee Only - All Plans $22 - $76 21%
Miscellaneous-All Plans $22 - $230 21%
Pacificsource-All Plans $22 - $225 21%
Wise Provider Network-All Plans $22 - $238 21%
Cigna $23 - $238 22%
First Choice Comm - All Plans $24 - $243 22%
Phcs Multiplan-All Plans $24 - $243 22%
Three Rivers-All Plans $24 - $243 22%
Blue Cross Blue Shield $80 - $212 75%
Wy School Boards-All Plans $214 200%
UnitedHealthcare $219 205%
C1 Employee - All Plans $230 215%
Casper Opco Llc - All Plans $230 215%
First Health Comm - All Plans $230 215%
Ebms - All Plans $243 228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 W 5Th St, Sheridan, WY 82801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals