X-ray, lower back
Facility: Medicine Lodge Memorial Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $417
- Cash Discount Price: $439
- vs. Medicare Baseline: 3.90x 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 390% of the Medicare baseline (a markup of 290%). 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 | $351 | 329% |
| Humana | $399 | 374% |
| Aetna | $406 - $439 | 380% |
| UnitedHealthcare | $417 | 390% |
| Hpk-All Plans | $417 | 390% |
| Medicaid / KanCare | $439 | 411% |
Consumer Guidance & Cost Commentary
For this X-ray of the lower back at Medicine Lodge Memorial Hospital in Medicine Lodge, Kansas, the cash price is $439.00, which matches the facility's median negotiated rate and the highest amount paid by any payer listed. While the facility is a Critical Access Hospital owned by a government district, the data shows no specific county or state average provided for comparison. It is important to note that for patients with high-deductible plans, paying the full cash price of $439.00 upfront can sometimes be more cost-effective than relying on insurance, as the negotiated rates paid by insurers like Aetna and UnitedHealthcare also reached $439.00 or $417.00, meaning the patient would likely pay the same amount or slightly more after their deductible. Patients should always ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these programs can reduce the final bill by offering immediate liquidity incentives that bypass standard insurance billing cycles.
The billing structure for this service reflects standard commercial dynamics where the gross charge of $439.00 serves as the baseline, but the actual amount paid varies by payer contract. For instance, Tricare and Humana paid the full $351.00 and $399.00 respectively, while Medicaid/KanCare paid the full $439.00, indicating that some payers have contracts that cover the entire cost without a patient share. When reviewing your own bill, it is crucial to request an itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can