X-ray, lower back
Facility: Mcpherson Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $111
- Cash Discount Price: $114
- vs. Medicare Baseline: 1.04x 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 | $10 - $689 | 9% |
| Tricare | $11 - $85 | 10% |
| Wellcare Mcr Adv - All Plans | $12 - $96 | 11% |
| Blue Cross Blue Shield | $12 - $96 | 11% |
| Ambetter / Centene | $12 - $111 | 11% |
| Healthy Blue Mcr Adv | $12 - $96 | 11% |
| Humana | $12 - $96 | 11% |
| Aetna | $12 - $689 | 11% |
| Va Ccn - All Plans | $12 - $96 | 11% |
| Multiplan - All Plans | $15 - $620 | 14% |
| Medicaid / KanCare | $41 - $689 | 38% |
| Health Blue Mcaid - All Other Plans | $42 - $703 | 39% |
| Central Plains - All Plans | $76 - $517 | 71% |
| Medical Associates - All Plans | $76 - $517 | 71% |
| Cigna | $96 - $655 | 90% |
| Health Partners - All Plans | $96 - $655 | 90% |
| Wppa - All Plans | $108 - $482 | 101% |
| Christian Health Aid - All Plans | $123 - $551 | 115% |
| First Health - All Plans | $146 - $655 | 137% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back), McPherson Hospital in McPherson, KS, lists a gross charge of $154.00, which is significantly higher than the facility's cash median of $114.00 and the median negotiated rate of $111.00. While the facility's cash price is lower than the gross charge, it is important to note that commercial insurance negotiated rates vary widely among payers, ranging from $10 to $689 across 19 different plans. For patients with high-deductible plans, paying the cash price of $114.00 upfront may be more cost-effective than relying on insurance, as the negotiated allowed amount for many plans exceeds the cash rate. Patients should explicitly request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% and bypass costly claims processing fees.
The facility's pricing is benchmarked against the Medicare amount of $106.81, which serves as a scientifically validated cost baseline for healthcare delivery. Although the cash price of $114.00 is slightly above the Medicare rate, it remains substantially lower than the gross charge, illustrating that commercial billing structures often include significant administrative markups. To ensure transparency and avoid unexpected costs, patients should review their itemized bills for any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. If a balance bill arises from out-of-network ancillary services, patients are protected under the No Surprises Act and should dispute the charge with their insurer rather than paying immediately