X-ray, lower back
Facility: Kansas Medical Center Llc
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $92
- Cash Discount Price: $196
- vs. Medicare Baseline: 0.86x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Aetna | $76 | 71% |
| United | $84 | 79% |
| Tricare | $87 | 81% |
| Indian Health | $87 | 81% |
| Medadv_Wellcare | $96 | 90% |
| Ambetter / Centene | $96 | 90% |
| Humana | $96 | 90% |
| Blue Cross Blue Shield | $96 - $237 | 90% |
| Wppa | $131 | 123% |
| Three_Rivers | $193 | 181% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back at Kansas Medical Center Llc in Andover, KS, the cash median price is $196.00, which is lower than the gross charge of $327.00. While the facility's negotiated rates with insurance payers range from $60 to $237, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance negotiated rate exceeds the cash price. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the actual cost of care, making the cash option a potential way to reduce out-of-pocket expenses.
To ensure you receive the best possible price, we recommend asking the hospital about "self-pay" or "prompt-pay" discounts before scheduling your appointment, as these upfront payment incentives can lower the final bill. Additionally, if you are billed by an out-of-network provider, the No Surprises Act may protect you from balance billing for emergency care or non-emergency services at in-network facilities. If you do receive a surprise bill, do not pay it immediately; instead, request a formal itemized audit to identify errors such as unbundled codes or services not rendered, and dispute the charges in writing to avoid unnecessary debt.