X-ray, lower back
Facility: Sheridan County Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $342
- Cash Discount Price: $461
- vs. Medicare Baseline: 3.20x 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 320% of the Medicare baseline (a markup of 220%). 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 Insurance | $279 | 261% |
| Blue Cross Blue Shield | $342 | 320% |
| UnitedHealthcare | $438 | 410% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Sheridan County Hospital in Hoxie, KS, the cash price is $461.00, which matches the cash median for this service. This rate is significantly higher than the Medicare benchmark of $106.81, reflecting a markup of 3.2 times the federal baseline. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than using insurance, as the negotiated rates for in-network payers like Celtic Insurance ($279), Blue Cross Blue Shield ($342), and UnitedHealthcare ($438) exceed the cash amount.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling their visit, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is important to avoid balance billing by confirming that the facility is in-network for your plan, as the No Surprises Act protects against unexpected charges for out-of-network services at in-network facilities. If you receive a bill, always demand a full itemized statement to verify that no unbundled codes or services not rendered have been included, ensuring you are only paying for the actual care provided.