X-ray, lower back
Facility: Stanton County Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $519
- Cash Discount Price: $546
- vs. Medicare Baseline: 4.86x 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 486% of the Medicare baseline (a markup of 386%). 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 | $236 - $519 | 221% |
| Healthy Blue Mcr Adv - All Other Plans | $535 | 501% |
| Healthy Blue Mcaid | $546 | 511% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Stanton County Hospital in Johnson, KS, the cash price is $546.00, which matches the facility's gross charge and the median amount paid by insurers. While the facility is a Critical Access Hospital owned by the local government, the negotiated rates for in-network payers range from $236 to $546, with the median negotiated amount being $519.00. This suggests that for patients with high-deductible plans or those without insurance, paying the cash price of $546.00 may be more cost-effective than relying on insurance, as the insurer's average payment of $527.00 is slightly lower than the cash rate. However, patients should verify their specific plan's deductible status, as paying out-of-pocket before meeting that threshold could result in higher out-of-pocket costs.
To ensure you receive the most accurate pricing, it is important to distinguish between the hospital's gross charges and the actual rates you will pay. The Medicare benchmark for this service is $106.81, which serves as a baseline for fair pricing; commercial rates are often significantly higher due to administrative costs and contract structures. If you receive a bill that includes charges for services not rendered, unbundled codes, or items that were cancelled, you should request a full itemized audit rather than accepting a summary bill. Additionally, if you are concerned about balance billing from out-of-network providers, remember that the No Surprises Act protects you from being billed for emergency care or non-emergency services at in-network facilities. Always ask the hospital directly about "self-pay" or "