X-ray, lower back
Facility: Kansas Heart Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $252
- Cash Discount Price: $177
- vs. Medicare Baseline: 2.36x 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 236% of the Medicare baseline (a markup of 136%). 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 |
|---|---|---|
| Tricare | $87 | 81% |
| Humana | $96 | 90% |
| Celtic Mcr Adv | $96 | 90% |
| UnitedHealthcare | $96 - $280 | 90% |
| Medicaid / KanCare | $96 - $280 | 90% |
| Wppa - All Plans | $112 | 105% |
| Blue Cross Blue Shield | $186 - $280 | 174% |
| Multiplan - All Plans | $252 | 236% |
| Aetna | $273 - $280 | 256% |
| Celtic Mcaid - All Other Plans | $280 | 262% |
| Soonerselect Mcaid - All Plans | $280 | 262% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back (CPT 72110) at Kansas Heart Hospital in Wichita, KS, the facility's cash median price is $177.00, which is lower than the state average of $182.00. While many commercial payers negotiate rates significantly higher than the cash price—ranging from $252 to $280 depending on the plan—patients with high-deductible policies may find paying cash directly more cost-effective. The facility offers a proprietary ownership structure and is located in Wichita (ZIP 67226), and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to potentially reduce the final bill.
When comparing this service to the Medicare benchmark, the facility's cash rate of $177.00 is 2.4 times the Medicare amount of $106.81, reflecting a markup typical of commercial pricing where negotiated rates often average 200% to 300% of the federal baseline. Although the facility has a high rating of 4 and serves 11 different payers, including Medicaid and Tricare, patients should verify their specific plan's negotiated rate before assuming it is the lowest possible price. To ensure accuracy, consumers are encouraged to request a full itemized billing audit rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or charges for services not rendered.