X-ray, lower back
Facility: Mitchell County Hospital Health Systems
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $427
- Cash Discount Price: $404
- vs. Medicare Baseline: 4.00x 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 400% of the Medicare baseline (a markup of 300%). 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 | $107 - $449 | 100% |
| Blue Cross Blue Shield | $248 | 232% |
| Triwest Well Mark All Plans | $382 | 358% |
| First Health-All Plans | $404 | 378% |
| Aetna | $404 | 378% |
| Pref Hlth Care Sytms Comm - All Plans | $404 | 378% |
| Multiplan Ppo - All Plans | $427 | 400% |
| Phc Leased Ntwrk Access - All Plans | $427 | 400% |
| Auxiant-All Plans | $427 | 400% |
| Health Partners Ks-All Plans | $445 | 417% |
| Cigna | $445 | 417% |
Consumer Guidance & Cost Commentary
For the X-ray, lower back procedure (CPT 72110) at Mitchell County Hospital Health Systems in Beloit, KS, the facility's cash price is $404.00, which aligns with the median negotiated rate of $427.00 across 11 payers. This cash price is notably lower than the gross charge of $449.00 and represents a significant discount compared to the Medicare benchmark of $106.81, where commercial rates typically range from 200% to 300% of the Medicare amount. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $404.00 rate is lower than the average negotiated rates paid by most insurance carriers listed, such as UnitedHealthcare and Aetna.
To maximize savings, patients should inquire about "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront, effectively bypassing the administrative costs associated with insurance claims processing. It is crucial to request self-pay classification before check-in and sign a waiver of insurance submission to ensure the cash rate applies rather than triggering an automatic claim that could void the discount. Additionally, while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, patients should always review their itemized bill for any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.