X-ray, lower back
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $105
- Cash Discount Price: $522
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $33 - $104 | 31% |
| Humana | $33 - $102 | 31% |
| Aetna | $33 - $683 | 31% |
| Blue Cross Blue Shield | $60 - $299 | 56% |
| UnitedHealthcare | $91 - $541 | 85% |
| Dept Of Veteran Affairs Contracted [320106] | $102 | 95% |
| Tricare | $102 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $102 | 95% |
| Halo Hcr Inc Hospice [20432] | $102 | 95% |
| Kindful Hospice Contracted [320434] | $102 | 95% |
| Pace Of The Ozarks Contracted [320518] | $102 | 95% |
| Mercy Hospice Okc [20252] | $102 | 95% |
| Elara Caring Aspire Hospice [20433] | $102 | 95% |
| Kindful Hospice [20434] | $102 | 95% |
| Medicare (plans) | $102 - $106 | 95% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $102 | 95% |
| Cross Timbers Hospice [20098] | $102 | 95% |
| Home State Health Plan Contracted [320187] | $104 | 97% |
| Ambetter / Centene | $104 | 97% |
| Providrs Care Network Contracted [320484] | $197 | 184% |
| Health Choice Contracted [320166] | $239 | 224% |
| Medica Contracted [320239] | $292 | 273% |
| Cigna | $455 - $467 | 426% |
| United Medical Resources Contracted [320454] | $541 | 507% |
| Edison Health Solutions Contracted [320502] | $642 | 601% |
| Reflect Health Contracted [320492] | $642 | 601% |
| Yuzu Health Contracted [320521] | $642 | 601% |
| Aither Health Contracted [320449] | $642 | 601% |
| American Healthcare Alliance Contracted [320020] | $642 | 601% |
| Auxiant Contracted [320462] | $642 | 601% |
| Ebms Contracted [320493] | $642 | 601% |
| Mercy Benefit Admin Contracted [320251] | $642 | 601% |
| Imagine 360 Contracted [320494] | $642 | 601% |
| Healthlink Contracted [320179] | $642 | 601% |
| Workers Comp [20426] | $642 | 601% |
| First Health Contracted [320128] | $683 | 639% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back), Mercy Hospital Pittsburg, Inc. lists a gross charge of $803.00, with cash-pay rates averaging $522.00 and a median negotiated rate of $105.00 across 36 payers. The facility's cash price is notably lower than the median negotiated amount paid by insurers, which can be advantageous for patients with high-deductible plans who may prefer paying out-of-pocket to avoid administrative fees and potential balance billing. While the facility is a voluntary non-profit church-owned acute care hospital in Pittsburg, KS (zip 66762), patients should verify their specific plan's allowed amount, as negotiated rates vary significantly by carrier, ranging from $33 for Medicaid/KanCare plans to $683 for Aetna.
To ensure you are not overcharged, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should inquire about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full upfront, bypassing the costly insurance claims cycle. Since the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should dispute any unexpected bills immediately rather than paying them out of fear of credit damage. Always confirm your deductible status and ask for a self-pay classification prior to scheduling to secure the most favorable rate available.