X-ray, lower back
Facility: Grisell Memorial Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $359
- Cash Discount Price: $391
- vs. Medicare Baseline: 3.36x 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 336% of the Medicare baseline (a markup of 236%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $233 | 218% |
| UnitedHealthcare | $306 - $412 | 286% |
| Medicaid / KanCare | $412 | 386% |
| Humana | $412 | 386% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back (CPT 72110) at Grisell Memorial Hospital in Ransom, KS, the facility's cash median price is $391.00, which is slightly lower than the state average of $412.00. While the hospital is a Critical Access Hospital owned by the Government Hospital District, patients should be aware that paying cash upfront can sometimes result in lower out-of-pocket costs compared to using insurance, particularly if your plan has a high deductible. The facility offers a prompt-pay discount for those who settle their bill immediately, which can further reduce the final amount owed.
When using insurance, the negotiated rates vary by payer, ranging from $233 for Blue Cross Blue Shield to $412 for Medicaid/KanCare and Humana. It is important to note that these negotiated amounts often exceed the cash price due to administrative costs and contract structures, meaning the lowest price for this service is typically the cash rate. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify your specific plan's deductible status before scheduling, as you may be responsible for the full negotiated amount if you have not yet met your coverage threshold.