X-ray, lower back
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $98
- Cash Discount Price: $128
- 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 |
|---|---|---|
| UnitedHealthcare | $10 - $275 | 9% |
| Aetna | $11 - $94 | 10% |
| Medicaid / KanCare | $11 - $94 | 10% |
| Providrs Care | $17 - $64 | 16% |
| Tricare | $71 | 66% |
| Humana | $98 - $99 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Va | $98 | 92% |
| Smarthealth | $138 | 129% |
| Ambetter / Centene | $167 | 156% |
| Blue Cross Blue Shield | $269 - $283 | 252% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Ascension Via Christi Hospital Manhattan, Inc, the facility's cash price is $128.00, which is significantly lower than the gross chargemaster rate of $319.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range from $10 to $275, the cash price often represents the most affordable option for patients with high-deductible plans or those without insurance. It is important to note that commercial negotiated rates frequently exceed cash prices due to administrative costs and contract structures; therefore, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying in full upfront can sometimes bypass the higher insurance negotiated amounts.
When evaluating the cost of this service, it is more accurate to compare rates against the Medicare benchmark rather than the hospital's inflated list price. The Medicare allowed amount for this procedure is $106.81, and the facility's cash rate of $128.00 is slightly higher than this federal baseline, reflecting the local cost of care in Manhattan, KS. Although the data does not provide specific state or county average comparisons for this exact code, patients should remain vigilant against balance billing if they receive care from out-of-network providers, as the No Surprises Act protects against unexpected charges for emergency services at in-network facilities. To ensure transparency, consumers should request a detailed, itemized bill to verify that all charges correspond to services actually rendered and to identify any potential errors before finalizing payment.