X-ray, lower back
Facility: Pratt Regional Medical Center
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $102
- Cash Discount Price: $74
- vs. Medicare Baseline: 0.95x 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 |
|---|---|---|
| Christian Health Aid | $35 - $533 | 33% |
| UnitedHealthcare | $39 - $725 | 37% |
| Health Partners Of Kansas | $40 - $604 | 37% |
| Aetna | $42 - $640 | 39% |
| Choicecare | $47 - $711 | 44% |
| Celtic Insurance Company | $102 | 95% |
| Healthy Blue | $105 | 98% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Pratt Regional Medical Center in Pratt, KS, the facility's cash median rate is $74.00, which is lower than the gross charge of $105.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range from $39 to $725, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying cash directly. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can significantly reduce the final cost.
The facility's pricing structure is anchored by a Medicare amount of $106.81, which serves as a benchmark for fair market value. Although the data does not provide specific state or county average comparisons for this exact code, the cash rate of $74.00 represents a potential savings opportunity compared to the standard Medicare reimbursement. Patients should be cautious of summary bills that obscure individual charges; if you receive an invoice, request a full itemized statement to ensure no errors, such as unbundled codes or services not rendered, are included. By comparing the negotiated rates against the Medicare baseline and actively seeking prompt-pay discounts, you can avoid unexpected costs and ensure you are paying a fair price for your care.