X-ray, lower back
Facility: Lane County Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $365
- Cash Discount Price: $365
- vs. Medicare Baseline: 3.42x 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 342% of the Medicare baseline (a markup of 242%). 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 |
|---|---|---|
| UnitedHealthcare | $329 - $365 | 308% |
| Aetna | $329 - $347 | 308% |
| Healthy Blue Mcaid | $365 | 342% |
| Medicaid / KanCare | $365 - $402 | 342% |
| Healthy Blue Mcr Adv - All Other Plans | $365 | 342% |
| Wppa Providers-All Plans | $548 | 513% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Lane County Hospital in Dighton, KS, the cash price is $365.00, which matches the facility's negotiated rate and the median paid amount. This rate is significantly higher than the Medicare benchmark of $106.81, reflecting a markup common in commercial billing structures where administrative costs and contract dynamics often inflate prices to 200% to 300% of the federal baseline. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that cash-paying can sometimes be more cost-effective than using insurance if their plan's negotiated rate exceeds the cash price, particularly for those with high-deductible plans.
To ensure you are receiving the most accurate pricing, it is crucial to request an itemized billing audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Although the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, patients should verify their specific plan details and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, which can reduce the final amount by 20% to 50% if paid in full upfront. Since the data provided does not include specific county or state average comparisons for this procedure, we recommend contacting the hospital directly to confirm their current pricing structure against local market rates.