X-ray, lower back
Facility: Kansas City Orthopaedic Institute
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $98
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $49 - $139 | 46% |
| UnitedHealthcare | $98 - $191 | 92% |
| Aetna | $98 | 92% |
| Cigna | $100 - $108 | 94% |
| Medica | $201 | 188% |
Consumer Guidance & Cost Commentary
For the CPT code 72110, representing an X-ray of the lower back, the Kansas City Orthopaedic Institute in Leawood, KS, has a gross charge of $217.00. While the facility is owned by physicians, the data indicates that cash payments and negotiated rates are not available for this specific service, with both cash median and median paid values listed as null. The facility's negotiated rate of $98.00 is lower than the state average for this procedure, which ranges from $98.00 to $191.00 across five payers including Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, and Medica. Because no cash price is provided, patients with high-deductible plans should verify if their specific insurance plan covers this service at the negotiated rate of $98.00, as paying out-of-pocket is not an option for this code.
Patients should be aware that balance billing is not a concern for this service as the facility operates under a negotiated rate structure that caps charges for in-network members. However, if a patient receives care from an out-of-network provider at this facility, the No Surprises Act protects them from being billed the difference between the provider's full chargemaster rate and their insurance allowed amount. To ensure transparency, consumers should request an itemized billing audit if they receive a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Since the facility does not offer a cash discount for this code, patients should focus on confirming their insurance coverage status and deductible requirements before scheduling to avoid unexpected financial burdens.