X-ray, lower back
Facility: Great Plains Of Sabetha
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $328
- Cash Discount Price: $345
- vs. Medicare Baseline: 3.07x 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 307% of the Medicare baseline (a markup of 207%). 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 |
|---|---|---|
| Celtic Mcr Adv | $179 | 168% |
| Aetna | $181 - $348 | 169% |
| Celtic Comm Exchange-All Other Plans | $224 | 210% |
| Great West Healthcare-All Plans | $293 | 274% |
| UnitedHealthcare | $321 - $345 | 301% |
| Century/Wppa/Providers-All Plans | $328 | 307% |
| Humana | $328 | 307% |
| Multiplan-Phcs-All Plans | $328 | 307% |
| Cigna | $328 | 307% |
| Federated Mutual Ins-All Plans | $331 | 310% |
| Medicaid / KanCare | $345 | 323% |
| Blue Cross Blue Shield | $345 | 323% |
Consumer Guidance & Cost Commentary
For the X-ray, lower back procedure (CPT 72110) at Great Plains Of Sabetha in Sabetha, KS, the cash median price is $345.00, which matches the facility's gross charge and the Medicaid rate. This cash rate is significantly higher than the state average for this service, as indicated by a 3.1x multiplier relative to the Medicare benchmark of $106.81. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $179 to $348, these negotiated amounts often exceed the cash price for patients with high-deductible plans. Because insurance billing involves administrative overhead and potential deductibles, paying the cash price of $345.00 upfront can sometimes result in lower out-of-pocket costs compared to the allowed amounts charged by insurers, provided the patient has not yet met their deductible.
Patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these programs can reduce the final bill by 20% to 50% by bypassing insurance claims processing. It is important to note that while the No Surprises Act protects patients from balance billing for emergency care at in-network facilities, unexpected ancillary services or out-of-network providers could still trigger additional charges if not carefully reviewed. To ensure accuracy, consumers should request a full itemized CPT-coded bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. By comparing the facility's rates directly to the Medicare benchmark and asking about payment plans or discounts prior to treatment, patients can avoid surprise costs