X-ray, lower back
Facility: Kiowa District Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $460
- Cash Discount Price: $390
- vs. Medicare Baseline: 4.31x 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 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.
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