X-ray, lower back
Facility: Providence Medical Center
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $98
- Cash Discount Price: $98
- 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 |
|---|---|---|
| Comp Alliance - Fka Compresults Worker Compensation | $48 | 45% |
| Oha Networks | $52 | 49% |
| Worker Compensation | $54 | 51% |
| Aetna | $59 - $98 | 55% |
| Medicaid / KanCare | $60 | 56% |
| UnitedHealthcare | $91 - $145 | 85% |
| Celtic | $93 - $158 | 87% |
| Healthy Blue | $93 - $103 | 87% |
| Medicare (plans) | $98 | 92% |
| Cigna | $98 | 92% |
| Midland Care Connection | $98 | 92% |
| Tricare | $98 | 92% |
| Kansas Superior Select | $103 | 96% |
| Corizon | $128 | 120% |
| Well Path Prison | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
| Blue Cross Blue Shield | $158 - $255 | 148% |
| First Health | $750 | 702% |
Consumer Guidance & Cost Commentary
For this X-ray of the lower back at Providence Medical Center in Kansas City, KS, the cash price of $98.00 is significantly lower than the facility's negotiated rates, which range from $48 to $750 depending on the insurance carrier. While the cash price is the lowest amount a patient could potentially pay, it is important to note that for many insured patients, the negotiated rate their specific plan pays may exceed the cash price, making self-pay a more economical option. The facility offers a prompt-pay discount for upfront payment, which can further reduce the final bill, and patients should explicitly ask for self-pay or prompt-pay rates before scheduling to avoid being billed the higher insurance negotiated amount.
When evaluating the cost of this service, it is helpful to compare the facility's pricing against the Medicare benchmark, which serves as a scientifically validated baseline for the true cost of care. The Medicare amount for this procedure is $106.81, and the cash price of $98.00 is slightly below this benchmark, indicating a fair rate relative to federal standards. Although the data does not provide specific state or county average figures for comparison, the facility's ownership as a voluntary non-profit church organization often influences its pricing structure. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, they should still request an itemized bill to ensure no unbundled codes or services not rendered are included in the final charge.