X-ray, lower back
Facility: Kearny County Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $420
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.93x 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 393% of the Medicare baseline (a markup of 293%). 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 |
|---|---|---|
| Aetna | $315 | 295% |
| Blue Cross Blue Shield | $315 - $420 | 295% |
| UnitedHealthcare | $315 - $420 | 295% |
| Rocky Mountain Hospital&Medica | $420 | 393% |
| Kansas Solutions | $420 | 393% |
| Wps Gha - Mac J5 Part A | $420 | 393% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back (CPT 72110) at Kearny County Hospital in Lakin, KS, the facility's negotiated rates range from $315 to $420, with a median negotiated amount of $420.00. This aligns with the highest end of the payer-specific ranges, where some plans like Rocky Mountain Hospital&Medica and Kansas Solutions pay the full $420.00. While the facility is a Critical Access Hospital owned by the local government, the cash-pay median is not available in this dataset. However, for patients with high-deductible plans, paying cash upfront can sometimes be more cost-effective than using insurance, as commercial negotiated rates often exceed cash prices. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final bill by bypassing administrative claim processing fees.
When evaluating this charge, it is important to compare the facility's rates against the objective baseline of Medicare, which is $106.81 for this procedure. The Medicare benchmark serves as the scientifically validated cost baseline, revealing that commercial rates are typically marked up significantly above this true cost. Although the data does not provide specific state or county average comparisons for this code, the facility's gross charge of $420.00 represents a substantial markup over the Medicare rate. To ensure you are receiving fair pricing, patients should request an itemized billing audit to verify that no unbundled codes or services not rendered are included in the final statement, as over 80% of hospital bills contain errors. Always confirm your deductible status before scheduling, as paying the full negotiated rate without meeting your