X-ray, lower back
Facility: Logan County Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $362
- Cash Discount Price: $100
- vs. Medicare Baseline: 3.39x 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 339% of the Medicare baseline (a markup of 239%). 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 |
|---|---|---|
| Humana | $212 | 198% |
| Blue Cross Blue Shield | $248 | 232% |
| Health Partners - All Plans | $475 | 445% |
| Medicaid / KanCare | $500 | 468% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Logan County Hospital in Oakley, KS, the facility's cash price of $100.00 is significantly lower than the state average, which is $344.00. While the hospital's negotiated rates with major payers like Humana ($212) and Blue Cross Blue Shield ($248) are higher than the cash price, patients with high-deductible plans may find the cash rate more affordable if their insurance allowed amount exceeds $100. It is important to note that Medicaid/KanCare has a fixed negotiated rate of $500, which matches the facility's gross chargemaster price. Because the facility is a Critical Access Hospital owned by the local government, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final cost compared to standard billing cycles.
This service is subject to federal protections under the No Surprises Act, which prohibits balance billing for out-of-network providers at in-network facilities, though patients should still verify network status to avoid unexpected ancillary charges. If a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies. For pricing context, the facility's Medicare amount of $106.81 serves as a benchmark; commercial negotiated rates typically range from 200% to 300% of this figure, while fair pricing is often defined between 120% and 150%.