X-ray, lower back
Facility: St. Catherine Hospital - Garden City
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $123
- Cash Discount Price: $586
- vs. Medicare Baseline: 1.15x 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 |
|---|---|---|
| UnitedHealthcare | $34 - $359 | 32% |
| Kansas Health | $34 | 32% |
| Cigna | $34 - $127 | 32% |
| Blue Cross Blue Shield | $34 - $294 | 32% |
| Kaiser | $34 - $648 | 32% |
| Humana | $34 - $39 | 32% |
| Medicare (plans) | $34 - $39 | 32% |
| Aetna | $34 - $487 | 32% |
| Devoted Health | $39 | 37% |
| Innovage | $39 | 37% |
| Direct To Employer | $75 - $941 | 70% |
| Centura Employee Plan | $91 | 85% |
| Peak Health | $99 - $918 | 93% |
| Multiplan | $134 - $2,000 | 125% |
| United Colorado Doctor'S Plan | $245 | 229% |
| Wpaa | $405 | 379% |
| Christian Health Aid | $463 | 433% |
| Denver Health | $555 | 520% |
| Health Partners Of Kansas | $562 | 526% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at St. Catherine Hospital in Garden City, KS, the cash median price is $586.00, which is significantly higher than the state average of $273.00. While commercial insurance plans like UnitedHealthcare and Cigna negotiate rates ranging from $34 to $648, these negotiated amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. To ensure you are receiving the best possible rate, it is essential to request a full itemized billing audit before finalizing payment, as summary bills can obscure errors or unbundled charges that inflate the total. Additionally, patients should explicitly ask about prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing.
When evaluating the cost of this procedure, it is important to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster. The Medicare allowed amount for this service is $106.81, and the facility's median negotiated rate is $123.00, which aligns closely with the fair pricing range of 120% to 150% of the Medicare rate. Although some commercial payers have negotiated rates as high as $2,000, the facility's ownership as a voluntary non-profit church suggests potential flexibility in pricing. Consumers should verify their specific plan's deductible status before scheduling, as paying out-of-pocket may be cheaper if the insurance allowed amount exceeds the cash price, and always check for