X-ray, lower back
Facility: Cheyenne County Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $396
- Cash Discount Price: $354
- vs. Medicare Baseline: 3.71x 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 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.
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.