CMS Price Transparency Data

X-ray, lower back

Facility: Memorial Hospital of Converse County

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$79
about 0.7× the $107 Medicare rate · typically $28–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
About the fair price
about $3 over the fair price · 0.8× Medicare
Medicare pays $107 Fair price $79 This hospital $82 Cash price $470 Hospital's list price $825

How we calculate the fair BaseRate →

How this hospital compares to other WY hospitals

A typical price — 2 charge more and 3 charge less, among the 6 WY hospitals compared.

Cheapest $41 Priciest $200

Black dot = this hospital, among the 6 WY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, lower back is about $79 (about 0.7× the $107 Medicare rate). Memorial Hospital of Converse County charges insurers about $82, or about $470 in cash — about the fair price. Located in Douglas, WY.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $32 - $132 30%

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 111 South 5Th Street, Douglas, WY 82633
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals