X-ray, lower back
Facility: Saint John Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $98
- Cash Discount Price: $98
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Comp Alliance Workers Comp | $48 | 45% |
| Oha Networks | $52 | 49% |
| Worker Compensation | $54 | 51% |
| Medicaid / KanCare | $60 | 56% |
| Aetna | $73 - $98 | 68% |
| UnitedHealthcare | $91 - $138 | 85% |
| Healthy Blue | $93 - $103 | 87% |
| Celtic | $93 - $158 | 87% |
| Tricare | $98 | 92% |
| Cigna | $98 | 92% |
| Midland Care Connection | $98 | 92% |
| Medicare (plans) | $98 | 92% |
| Kansas Superior Select | $100 | 94% |
| Blue Cross Blue Shield | $118 - $248 | 110% |
| Corizon | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Well Path | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
Consumer Guidance & Cost Commentary
For this X-ray of the lower back at Saint John Hospital in Leavenworth, KS, the cash price is $98, which is significantly lower than the facility's negotiated rates with major insurers. While the hospital's cash median is $98, commercial payers like Aetna, UnitedHealthcare, and Blue Cross Blue Shield have negotiated rates ranging from $91 to $248, meaning patients with high-deductible plans might save money by paying cash directly rather than relying on insurance. It is important to note that Medicare, which serves as a benchmark for fair pricing, allows a payment of $106.81 for this service, making the cash rate of $98 the most affordable option available. Patients should verify their specific plan details, as some commercial rates may exceed the Medicare benchmark, and they should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not billed the full negotiated amount.
The facility is a voluntary non-profit acute care hospital located in Leavenworth, and while the data provided does not include specific county or state average comparisons for this procedure, the wide variation in negotiated rates across different payers highlights the importance of understanding your coverage. Under federal protections like the No Surprises Act, patients should be aware that balance billing for out-of-network services at in-network facilities is generally prohibited, though they should still review their itemized bills carefully to ensure no unbundled codes or services not rendered are included. If a bill arrives that seems inconsistent with the $98 cash rate or the negotiated amounts listed, patients should request a formal itemized audit to identify any errors before making a payment, as over 80% of