CMS Price Transparency Data

X-ray, lower back

Facility: Cheyenne County Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $396
  • Cash Discount Price: $354
  • vs. Medicare Baseline: 3.71x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Cheyenne County Hospital is $396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $354. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.71x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$354

Average discount available for prompt cash payment at this facility.

Insurance Median
$396

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: $354 (331%)
Insurance Median: $396 (371%)
Cash: $354 (331% of Medicare)
Ins. Median: $396 (371% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 371% of the Medicare baseline (a markup of 271%). 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.

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
UnitedHealthcare $215 - $417 201%
Blue Cross Blue Shield $246 230%
First Health - All Plans $292 273%
Tricare $300 281%
Healthy Blue Mcr Adv $300 281%
Aetna $300 - $396 281%
Choice Care - All Plans $303 284%
Firstguard - All Plans $334 313%
Wppa - All Plans $375 351%
Preferred Hc - All Plans $396 371%
Cpm - All Plans $396 371%
Midlands Choice - All Plans $404 378%
Ppo Next - All Plans $409 383%
Unicare - All Plans $409 383%
Integrated Hp - All Plans $409 383%
Health Partners - All Plans $409 383%
Healthwave Mcaid - All Plans $417 390%
Childrens Mercy - All Plans $417 390%
Healthy Blue Mcaid - All Other Plans $417 390%
Providers Care-All Plans $626 586%

Consumer Guidance & Cost Commentary

For this X-ray of the lower back at Cheyenne County Hospital in St. Francis, KS, the facility's cash price is $354, which is lower than the state average of $375. While many insurance plans negotiate rates ranging from $215 to $626, patients with high-deductible plans might find paying the cash price directly more affordable if their insurance allowed amount exceeds $354. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the cash price, so verifying your specific plan's allowed amount before scheduling is essential to avoid unexpected costs.

Although the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should proactively ask about self-pay or prompt-pay discounts before check-in, as these upfront fee reductions can lower the final bill by 20% to 50%. If you receive a bill from an out-of-network provider, such as for emergency services or specific lab tests, the No Surprises Act may protect you from balance billing, and you should dispute any surprise charges in writing rather than paying immediately. Additionally, since over 80% of hospital bills contain errors, request a full itemized statement showing specific CPT codes to identify any unbundled charges or services not rendered before negotiating or settling the account.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals