X-ray, lower back
Facility: Goodland Regional Medical Center
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $333
- Cash Discount Price: $333
- vs. Medicare Baseline: 3.12x 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 312% of the Medicare baseline (a markup of 212%). 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 | $248 | 232% |
| Wppa | $314 - $333 | 294% |
| UnitedHealthcare | $333 | 312% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Goodland Regional Medical Center in Goodland, KS, the facility's cash median price is $333.00, which aligns with the median negotiated rate of $333.00. This cash price is significantly lower than the facility's gross charge of $370.00 and represents a 3.1x markup relative to the Medicare amount of $106.81. While the facility is a Critical Access Hospital with government-local ownership, patients should be aware that commercial insurance negotiated rates for this service range from $248 to $333 depending on the payer, with Blue Cross Blue Shield offering a fixed rate of $248 across one plan. Because the cash price matches the highest negotiated rate found in the data, patients with high-deductible plans may find paying out-of-pocket at $333.00 more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible has not been met.
To secure the best possible price, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling their appointment, as these upfront payment incentives can bypass administrative fees and reduce the final bill. It is important to verify the specific allowed amount for your insurance plan, as in-network rates vary by carrier and can sometimes exceed the cash price. Additionally, since over 80% of hospital bills often contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill, ensuring that no services were unbundled or incorrectly charged. By comparing the facility's rates directly to the Medicare benchmark and