X-ray, lower back
Facility: Kiowa County Memorial Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $334
- Cash Discount Price: $319
- vs. Medicare Baseline: 3.13x 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 313% of the Medicare baseline (a markup of 213%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $248 - $334 | 232% |
| UnitedHealthcare | $300 - $375 | 281% |
| Health Partners Of Ks-All Plans | $330 | 309% |
| Humana | $334 | 313% |
| Aetna | $334 | 313% |
| Celtic Comml Exchange-All Other Plans | $334 | 313% |
| Medica Prime Mcare Cost-All Plans | $334 | 313% |
| Medicaid / KanCare | $375 | 351% |
| Providrs Care/Wppa-All Plans | $562 | 526% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash median price is $319.00, which is lower than the state average of $334.00. While many commercial payers negotiate rates that exceed this cash price—ranging from $330 to $562 depending on the plan—patients with high-deductible plans may find paying the cash rate directly more cost-effective than relying on insurance, which often results in higher allowed amounts due to administrative overhead. It is important to note that Medicaid/KanCare and several commercial plans pay the maximum negotiated rate of $375, which is significantly higher than the cash price, highlighting how insurance contracts can sometimes result in higher out-of-pocket costs for the patient.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices can obscure errors or unbundled charges. If you receive a balance bill for an out-of-network service, remember that the No Surprises Act generally protects you from paying the difference between the provider's full rate and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. Additionally, since this facility is a Critical Access Hospital with government local ownership, you should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as paying upfront can often reduce the total cost by bypassing the complex claims processing and administrative fees associated with insurance billing.