SelfPayRates — hospital cash prices, from the source
Cash prices at 6 facilities across 3 cities for code 72110, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Jun 27, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Bellin Memorial Health Inc
GREEN BAY, WI HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) |
$210.67 | $455.00 | 54% | Jun 27, 2026 file |
|
| Oconto Hospital & Medical Center Inc
OCONTO, WI HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) |
$222.24 | $480.00 | 54% | Jun 27, 2026 file |
|
| Bellin Memorial Health Inc
GREEN BAY, WI HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) |
$254.65 | $550.00 | 54% | Jun 27, 2026 file |
|
| Aurora BayCare Medical Center
GREEN BAY, WI XR LUMBAR SPINE 4 VIEW MIN |
$470.00 | $940.00 | 50% | Nov 21, 2025 file |
|
| ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS
GREEN BAY, WI X-RAY EXAM L-2 SPINE 4/>VWS |
$582.78 | $883.00 | 34% | — file |
|
| St Clare Memorial Hospital Inc
OCONTO FALLS, WI HC XR L-SPINE 5V OBLIQUES |
$582.78 | $883.00 | 34% | — file |
|
| St Clare Memorial Hospital Inc
OCONTO FALLS, WI HC XR L-SPINE 4+V |
$582.78 | $883.00 | 34% | — file |
|
| ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
GREEN BAY, WI X-RAY EXAM L-2 SPINE 4/>VWS |
$582.78 | $883.00 | 34% | — file |
Outpatient: lowest $210.67, median $526.39, highest $582.78 — a 2.8× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $526.39. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.