X-ray, lower back
Facility: Overland Park Reg Med Ctr
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $572
- Cash Discount Price: $2,729
- vs. Medicare Baseline: 5.36x 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 536% of the Medicare baseline (a markup of 436%). 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 |
|---|---|---|
| Multiplan | $43 - $2,116 | 40% |
| Corvel Corporation | $51 - $1,858 | 48% |
| Oha Network | $53 - $1,430 | 50% |
| Aetna | $59 - $1,458 | 55% |
| United | $60 - $1,287 | 56% |
| Amerigroup | $60 | 56% |
| Healthyblue | $61 | 57% |
| Medicaid / KanCare | $62 | 58% |
| Blue Cross Blue Shield | $62 - $1,229 | 58% |
| Unicare | $62 | 58% |
| Humana | $72 - $94 | 67% |
| Home State Health Plan | $95 | 89% |
| Cigna | $122 - $181 | 114% |
| Ambetter / Centene | $483 - $532 | 452% |
| Nhc Advantage | $494 - $543 | 463% |
| Wppa Providrs Care Network | $520 - $572 | 487% |
| Universal Healthcare | $910 - $1,001 | 852% |
| Coventry | $1,045 - $1,149 | 978% |
| Coventry Kc Mo | $1,066 - $1,172 | 998% |
| College Park Family Care Center | $1,118 - $1,229 | 1047% |
| Triwest Health Alliance | $1,949 - $2,144 | 1825% |
| Cco, Inc. | $1,949 - $2,144 | 1825% |
| Focus Healthcare Mgmt, Inc | $1,949 - $2,144 | 1825% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back (CPT 72110) at Overland Park Reg Med Ctr, the cash price is $2,729.00, which matches the facility's cash median. This rate is significantly higher than the state average, with the facility charging 5.4 times the Medicare benchmark of $106.81. While commercial insurance plans like Ambetter / Centene and Nhc Advantage have negotiated rates ranging from $483 to $572, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the cash price directly more cost-effective, provided they secure a "self-pay" or "prompt-pay" discount before scheduling, as these upfront incentives can bypass the higher administrative fees embedded in insurance billing cycles.
It is important to distinguish between the facility's gross charges and the actual amounts billed to patients. The data shows a wide range of negotiated rates across different payers, with some plans like Triwest Health Alliance and Cco, Inc. having rates between $1,949 and $2,144, while others like Amerigroup and Healthyblue charge only $61. If a patient receives care from an out-of-network provider, they may face balance billing for the difference between the allowed amount and the full chargemaster rate, though the No Surprises Act protects against this for emergency services at in-network facilities. To avoid unexpected costs, consumers should request an itemized billing audit to verify that all charges correspond to services actually rendered and to identify any unbundled codes or errors, as over 80% of hospital bills contain discrepancies