X-ray, lower back
Facility: Wilson Medical Center
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $393
- Cash Discount Price: $368
- vs. Medicare Baseline: 3.68x 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 368% of the Medicare baseline (a markup of 268%). 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 | $246 - $491 | 230% |
| Aetna | $260 - $491 | 243% |
| UnitedHealthcare | $260 - $457 | 243% |
| Humana | $260 | 243% |
| Tricare | $260 | 243% |
| Ambetter / Centene | $260 - $491 | 243% |
| Cigna | $393 | 368% |
| Health Partners-All Plans | $452 | 423% |
| Mulitplan-All Plans | $452 | 423% |
Consumer Guidance & Cost Commentary
For this X-ray of the lower back at Wilson Medical Center in Neodesha, KS, the facility's cash price is $368, which is lower than the state average of $491. While the facility is a Critical Access Hospital owned by the local government, patients should note that insurance negotiated rates often exceed cash prices due to administrative overhead. For instance, the median negotiated rate across payers is $393, and the gross chargemaster is $491. If you have a high-deductible plan, paying the cash price of $368 upfront might be more cost-effective than your insurance paying a negotiated rate of $393 or higher, especially if your deductible has not yet been met.
Before scheduling, it is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, the No Surprises Act protects you from balance billing for emergency care and non-emergency services. If you do receive an unexpected bill, do not pay it immediately; instead, request a formal itemized audit to identify errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through written dispute.