X-ray, lower back
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $300
- Cash Discount Price: $374
- vs. Medicare Baseline: 2.81x 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 281% of the Medicare baseline (a markup of 181%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $100 | 94% |
| UnitedHealthcare | $121 - $416 | 113% |
| Berkley Net-All Plans | $166 | 155% |
| Aetna | $183 - $283 | 171% |
| Trustmark Health Benefits-All Plans | $183 | 171% |
| Meritain Health-All Plans | $187 | 175% |
| Ambetter / Centene | $200 | 187% |
| Axa Equitable - All Plans | $229 | 214% |
| Pinnacol-All Plans | $233 | 218% |
| Medi-Share-All Plans | $237 | 222% |
| Presbyterian-All Plans | $254 | 238% |
| Kasb Work Comp - All Plans | $266 | 249% |
| The Kempton Group Admin-All Plans | $287 | 269% |
| Gpha(Wppa)-All Other Plans | $291 | 272% |
| Auxiant - All Plans | $291 | 272% |
| Wppa- All Plans | $295 | 276% |
| Sisco-All Plans | $300 | 281% |
| Emc-All Plans | $300 | 281% |
| Providers Care Network- All Plans | $300 | 281% |
| Gpha Employee Benefit Plan | $304 | 285% |
| Employee Benefit-All Plans | $312 | 292% |
| Regional Care(Wppa)-All Plans | $312 | 292% |
| Triangle-All Plans | $316 | 296% |
| First Health -All Plans | $316 | 296% |
| One Call Physician-All Plans | $320 | 300% |
| Blue Cross Blue Shield | $329 | 308% |
| Tricare | $333 | 312% |
| Christian Hospital Aid - All Plans | $333 | 312% |
| Humana | $358 | 335% |
| Cigna | $366 | 343% |
| Luminare Health- All Plans | $366 | 343% |
| Coresource-All Plans | $374 | 350% |
| Deseret Mutual(Uhis)-All Plans | $374 | 350% |
| Vaccn-All Plans | $383 | 359% |
| Hma Llc-All Plans | $395 | 370% |
| Wps Vapc-All Plans | $395 | 370% |
| Reserve National-All Plans | $395 | 370% |
| Medicaid / KanCare | $416 | 389% |
Consumer Guidance & Cost Commentary
For this X-ray of the lower back at Satanta District Hospital, the cash price is $374.00, which is lower than the facility's negotiated rates for most major insurers. While the median negotiated rate across 38 payers is $300.00, many commercial plans, such as UnitedHealthcare and Aetna, pay significantly higher amounts ranging from $121 to $416.00. This disparity highlights that for patients with high-deductible plans, paying the cash price of $374.00 upfront may result in lower out-of-pocket costs compared to having insurance cover a negotiated rate that exceeds the cash price. Additionally, the facility offers a prompt-pay discount for self-pay patients who settle their bill in full within a short window, which can further reduce the final amount owed.
To ensure you are not overcharged, it is important to understand that commercial rates often include administrative fees and do not reflect the true cost of care. The Medicare benchmark for this service is $106.81, which serves as a scientifically validated baseline for the actual cost of delivery. Commercial negotiated rates frequently average 200% to 300% of the Medicare rate, whereas fair pricing is typically defined as 120% to 150% of Medicare. If you receive a bill that appears unexpectedly high, you should request a detailed, itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes. Furthermore, if you are an out-of-network patient, the No Surprises Act protects you from balance billing for emergency care and non-emergency