X-ray, lower back
Facility: Minneola District Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $266
- Cash Discount Price: $145
- vs. Medicare Baseline: 2.49x 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 249% of the Medicare baseline (a markup of 149%). 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 |
|---|---|---|
| UnitedHealthcare | $12 - $335 | 11% |
| Humana | $12 - $224 | 11% |
| Va Community Care Program-All Plans | $12 - $224 | 11% |
| Medicaid / KanCare | $41 - $335 | 38% |
| Providrs Care Network-All Plans | $41 - $285 | 38% |
| Aetna | $41 - $335 | 38% |
| Blue Cross Blue Shield | $248 | 232% |
| Corporate Plan Management-All Plans | $285 | 267% |
| Preferred Health Care (Coventry)-All Other Plans | $302 | 283% |
| Triwest-All Plans | $302 | 283% |
| Health Partners Of Kansas-All Plans | $318 | 298% |
| Phc (Coventry) Leased Network | $318 | 298% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back at Minneola District Hospital, the cash price is $145.00, which is lower than the facility's gross charge of $208.00. While the median negotiated rate across 12 payers is $302.00, patients with high-deductible plans might find paying cash directly more cost-effective, as the cash price is significantly lower than the insurance allowed amounts. The facility, a Critical Access Hospital in Minneola, KS, offers a prompt-pay discount for upfront payments, which can further reduce the final bill. Patients should explicitly ask for self-pay or prompt-pay rates before scheduling to avoid being billed the higher insurance negotiated rates.
When comparing pricing, the cash price of $145.00 is notably lower than the Medicare benchmark of $106.81, indicating that while cash is cheaper than the federal baseline, it is still a substantial amount. The median negotiated rate of $302.00 represents a significant markup over the Medicare amount, highlighting the importance of understanding that commercial rates often exceed the true cost of care. To ensure you are not overcharged, request a full itemized bill to verify that all services rendered are accurately coded and that no unbundled charges or services not provided are included. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act protects you from paying the difference for emergency care and non-emergency services at in-network facilities.