CMS Price Transparency Data

X-ray, lower back

Facility: Kiowa District Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $460
  • Cash Discount Price: $390
  • vs. Medicare Baseline: 4.31x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Kiowa District Hospital is $460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.31x the Medicare baseline. Located in 1002 South 4Th Street, Kiowa, KS.
Cash / Self-Pay
$390

Average discount available for prompt cash payment at this facility.

Insurance Median
$460

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: $390 (365%)
Insurance Median: $460 (431%)
Cash: $390 (365% of Medicare)
Ins. Median: $460 (431% 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 431% of the Medicare baseline (a markup of 331%). 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
Tricare $190 178%
Healthchoice-All Plans $224 210%
Blue Cross Blue Shield $246 230%
UnitedHealthcare $390 - $487 365%
Health Partners Of Ks-All Plans $429 402%
Humana $440 412%
Gbs Insurance - All Plans $458 429%
Multiplan-All Plans $458 429%
Medicare (plans) $463 433%
Triwest-All Plans $463 433%
Aetna $463 433%
Medicaid / KanCare $487 456%
Providers Care (Wppa)-All Plans $730 683%
Liberty Healthshare-All Plans $787 737%

Consumer Guidance & Cost Commentary

For the CPT code 72110 (X-ray, lower back) at Kiowa District Hospital in Kiowa, KS, the cash price is $390.00, which is lower than the facility's gross charge of $487.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare's negotiated rate ranges from $390 to $487, and Medicaid/KanCare charges the full $487.00. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $390.00 upfront may result in immediate savings compared to the insurance allowed amount, which averages $458.00. We recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if you choose to pay in full before or shortly after your service.

It is important to understand that commercial rates are not always the most economical option, especially when compared to federal benchmarks. The Medicare amount for this service is $106.81, which serves as a baseline for fair pricing; commercial rates can sometimes be significantly higher than this cost basis. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is crucial to request an itemized bill to ensure no unexpected charges for ancillary services or unbundled codes are included. If you receive a summary bill that does not list specific CPT codes, you should demand a

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1002 South 4Th Street, Kiowa, KS 67070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals