X-ray, lower back
Facility: Wesley Medical Center
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $719
- Cash Discount Price: $4,158
- vs. Medicare Baseline: 6.73x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 673% of the Medicare baseline (a markup of 573%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| First Health | $51 - $1,917 | 48% |
| Multiplan | $53 - $3,742 | 50% |
| UnitedHealthcare | $60 | 56% |
| Amerigroup | $62 | 58% |
| Aetna | $62 - $1,484 | 58% |
| Medicaid / KanCare | $62 | 58% |
| United | $245 - $1,871 | 229% |
| Blue Cross Blue Shield | $285 | 267% |
| Health Partners Of Kansas | $719 - $2,079 | 673% |
| Wppa | $723 | 677% |
| Ambetter / Centene | $748 | 700% |
| Preferred Health Choices | $786 | 736% |
| Medical Associates Health Plan | $786 | 736% |
| Spirit Aerosystems | $1,331 | 1246% |
| Triwest Healthcare Alliance | $2,703 | 2531% |
| Usa Managed Care | $3,534 | 3309% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Wesley Medical Center in Wichita, KS, the facility's cash median rate is $4,158.00. This cash price is significantly higher than the state average, which is $106.81, representing a markup of 6.7 times the Medicare benchmark. While commercial insurance plans like First Health and Multiplan negotiate rates ranging from $51 to $3,742, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rates can sometimes be higher than the out-of-pocket cash cost. To potentially lower this amount, patients should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront.
It is important to note that the facility's gross charge is $4,158.00, and while the data does not provide a specific median paid amount for insurance claims, the wide variation in negotiated rates across payers suggests that individual plan benefits will vary. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur if ancillary services are out-of-network. If a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain inaccuracies. Finally, patients should avoid signing consent waivers that