X-ray, lower back
Facility: Lindsborg Community Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $927
- Cash Discount Price: $709
- vs. Medicare Baseline: 8.68x 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 868% of the Medicare baseline (a markup of 768%). 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 | 230% |
| Tricare | $476 | 446% |
| Coventry Mcr Adv | $481 | 450% |
| Cigna | $861 | 806% |
| Coventry Comm-All Other Plans | $912 | 854% |
| UnitedHealthcare | $912 | 854% |
| Multiplan-All Plans | $942 | 882% |
| Phcs Preferred-All Plans | $942 | 882% |
| Century Health-All Plans | $962 | 901% |
| Health Partners -All Plans | $962 | 901% |
| Wppa-All Plans | $962 | 901% |
| Coventry Wc | $962 | 901% |
Consumer Guidance & Cost Commentary
For the X-ray, lower back procedure (CPT 72110) at Lindsborg Community Hospital in Kansas, the facility's cash median rate of $709.00 is significantly lower than the typical negotiated rates paid by insurance companies, which range from $246 to $962 depending on the specific plan. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $709.00 upfront may result in immediate savings compared to your insurance allowing a higher negotiated amount, such as the $942.00 median paid by insurers.
To maximize your savings, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the bill by offering immediate liquidity incentives. Additionally, if you are concerned about potential balance billing or billing errors, you 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. Since Medicare rates for this service are set at $106.81, the commercial rates reflect a significant markup, and comparing your final cost against this federal benchmark provides a clear view of the facility's pricing relative to the true cost of care.