CMS Price Transparency Data

X-ray, lower back

Facility: Menorah Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $134
  • Cash Discount Price: $3,070
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Menorah Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,070. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 5721 West 119Th Street, Overland Park, KS.
Cash / Self-Pay
$3,070

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $3,070 (2874%)
Insurance Median: $134 (125%)
Cash: $3,070 (2874% of Medicare)
Ins. Median: $134 (125% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 - $2,271 40%
Corvel Corporation $51 - $1,995 48%
Oha Network $53 - $1,535 50%
Aetna $59 - $1,565 55%
Amerigroup $60 56%
United $60 - $1,381 56%
Healthyblue $61 57%
Blue Cross Blue Shield $62 - $1,381 58%
Medicaid / KanCare $62 58%
Unicare $62 58%
Humana $72 - $94 67%
Home State Health Plan $95 89%
Cigna $122 - $2,456 114%
Ambetter / Centene $571 535%
Nhc Advantage $583 546%
Wppa Providrs Care Network $614 575%
Universal Healthcare $1,074 1006%
Coventry $1,234 1155%
Coventry Kc Mo $1,259 1179%
College Park Family Care Center $1,320 1236%
Cco, Inc. $2,302 2155%
Triwest Health Alliance $2,302 2155%
Focus Healthcare Mgmt, Inc $2,302 2155%

Consumer Guidance & Cost Commentary

For the X-ray, lower back procedure (CPT 72110) at Menorah Medical Center in Overland Park, KS, the cash price is $3,070, which matches the facility's reported median paid amount. This cash rate is significantly higher than the state average, as indicated by a ratio of 1.3 times the Medicare benchmark of $106.81. While commercial insurance negotiates rates that cap charges for in-network members, these negotiated amounts often exceed the cash price due to administrative costs and contract structures. For patients with high-deductible plans, paying the cash price upfront may be more cost-effective than relying on insurance, provided the insurer's allowed amount is higher than the cash rate.

Patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling services to potentially reduce the bill by 20% to 50%. These discounts are incentives for immediate payment that bypass insurance billing cycles, but they must be secured prior to check-in to avoid automatic claim submission. Additionally, consumers should avoid accepting summary bills and instead demand a full itemized statement to identify 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 can dispute the charge under the No Surprises Act rather than paying immediately out of fear of credit damage.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5721 West 119Th Street, Overland Park, KS 66209
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals