CMS Price Transparency Data

X-ray, lower back

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $138
  • Cash Discount Price: $464
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Mercy Specialty Hospital Southeast Kansas is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $464. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.29x the Medicare baseline. Located in 1619 K 66, Galena, KS.
Cash / Self-Pay
$464

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $464 (434%)
Insurance Median: $138 (129%)
Cash: $464 (434% of Medicare)
Ins. Median: $138 (129% 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
Humana $33 - $104 31%
Medicaid / KanCare $33 - $102 31%
Aetna $33 - $102 31%
Provider Partners Health Plans Contracted [320450] $35 33%
First Health Contracted [320128] $37 35%
Blue Cross Blue Shield $60 - $201 56%
UnitedHealthcare $91 - $660 85%
Kindful Hospice Contracted [320434] $102 95%
Medicare (plans) $102 95%
Qual Choice Contracted [320325] $102 95%
Medical Associates Health Contracted [320444] $102 95%
Cigna $102 - $467 95%
Mercy Hospice Okc [20252] $102 95%
Cherokee Nation Health Serv Contracted [320066] $102 95%
Pace Of The Ozarks Contracted [320518] $102 95%
Globalhealth Contracted [320145] $102 95%
Kindful Hospice [20434] $102 95%
United Medical Resources Contracted [320454] $102 - $138 95%
Mercy Mgd Behavioral Health Contracted [320259] $102 95%
Halo Hcr Inc Hospice Contracted [320432] $102 95%
Halo Hcr Inc Hospice [20432] $102 95%
Cross Timbers Hospice [20098] $102 95%
Tricare $102 95%
Elara Caring Aspire Hospice [20433] $102 95%
Dept Of Veteran Affairs Contracted [320106] $104 97%
Centivo Contracted [320505] $104 97%
Healthscope Contracted [320182] $138 - $536 129%
Health Systems Inc Contracted [320174] $138 129%
Benefit Management Contracted [320052] $138 129%
Point C Contracted [320238] $138 - $536 129%
Insurance System Inc Contracted [320465] $138 129%
Providrs Care Network Contracted [320484] $197 184%
Show-Me Health Administrators Contracted [320483] $241 226%
Mercy Benefit Admin Contracted [320251] $241 - $500 226%
Medica Contracted [320239] $260 243%
American Healthcare Alliance Contracted [320020] $500 468%
Ebms Contracted [320493] $500 468%
Auxiant Contracted [320462] $500 - $536 468%
Edison Health Solutions Contracted [320502] $500 468%
Yuzu Health Contracted [320521] $500 468%
Aither Health Contracted [320449] $500 468%
Reflect Health Contracted [320492] $500 468%
Imagine 360 Contracted [320494] $500 468%
Healthlink Contracted [320179] $536 502%
Federal Medical Center Contracted [320127] $536 502%
Preferred Health Plan Contracted [320522] $536 502%
Compcare Of The Ozarks Contracted [320437] $564 528%
Workers Comp [20426] $571 535%
Private Health Care Systems Contracted [320320] $660 618%
Multiplan [20270] $678 635%
Multiplan Contracted [320270] $678 635%

Consumer Guidance & Cost Commentary

For a lower back X-ray at Mercy Specialty Hospital Southeast Kansas, the cash median rate is $464, which is lower than the facility's gross charge of $714 and significantly below the state average of $138 for the median negotiated rate. This price transparency data indicates that paying out-of-pocket may offer a more affordable option compared to insurance reimbursement, as the cash price is lower than the median negotiated amount of $138 and the median paid amount of $97. Patients with high-deductible plans should consider that while insurance often covers the negotiated rate, the cash price could be cheaper if their deductible has not yet been met or if the insurer's allowed amount exceeds the cash-pay figure.

It is important to note that while the Medicare amount for this procedure is $106.81, the facility's negotiated rates vary widely among payers, ranging from $33 to $678, with Blue Cross Blue Shield having a high of $201 and UnitedHealthcare reaching $660. Because the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should verify their network status before scheduling to avoid unexpected bills. If you are not in-network, you may be subject to balance billing for the difference between the facility's chargemaster rate and the amount your insurer pays, so it is advisable to request an itemized billing audit to identify any errors or unbundled codes before signing consent waivers. Additionally, patients should ask the hospital about prompt-pay discounts, which can reduce the cash price of $464 if paid in full upfront, ensuring you receive the most favorable rate available.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1619 K 66, Galena, KS 66739
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals