X-ray, lower back
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $96
- Cash Discount Price: $404
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $94 | 88% |
| Providrs Care Network | $96 | 90% |
| Aetna | $96 - $120 | 90% |
| United Mine Workers Of America | $96 | 90% |
| Blue Cross Blue Shield | $96 - $186 | 90% |
| UnitedHealthcare | $96 - $116 | 90% |
| Lantern Specialty Care | $153 | 143% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Kansas Spine & Specialty Hospital, Llc in Wichita, KS, the facility's cash median price is $404.00, which is significantly higher than the state average of $245.00. While commercial insurance plans like Aetna and UnitedHealthcare have negotiated rates ranging from $96 to $186, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. To ensure you are getting the best possible price, it is essential to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can reduce the final bill by 20% to 50%.
When reviewing your final invoice, always request a full itemized bill that lists specific CPT codes rather than accepting a summary bill that obscures individual charges. This audit helps identify errors, unbundled services, or items not rendered, which are common sources of medical debt. Furthermore, to understand the true cost of care, compare your facility's rates against the Medicare benchmark of $106.81 for this procedure. Commercial negotiated rates often average 200% to 300% of the Medicare amount, so using the Medicare rate as a baseline reveals whether the facility's pricing is fair or inflated. If you receive a surprise balance bill from an out-of-network provider, remember that the No Surprises Act protects you from paying the difference for emergency care and non-emergency services at in-network facilities.