X-ray, lower back
Facility: Kingman Healthcare Center
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $41
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.38x 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.
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 |
|---|---|---|
| Healthy Blue | $41 | 38% |
| Medicaid / KanCare | $41 | 38% |
| Aetna | $76 | 71% |
Consumer Guidance & Cost Commentary
For the CPT code 72110 (X-ray, lower back) at Kingman Healthcare Center in Kingman, KS, the median negotiated rate is $41.00, which aligns exactly with the lowest and highest reported rates for this service among the three payers listed: Healthy Blue, Medicaid/KanCare, and Aetna. This facility, a Critical Access Hospital, does not offer a cash median rate in the current dataset, but patients should be aware that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. Since the facility is a non-profit voluntary organization, it is advisable to contact the billing department directly to inquire about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can significantly reduce out-of-pocket costs by bypassing administrative fees associated with insurance claims.
When reviewing this bill, it is important to understand that the $41.00 negotiated rate represents a contractually agreed-upon ceiling with insurers, which is often higher than the actual cash price due to administrative overhead and multi-layered billing structures. While the data does not provide a specific county or state average for comparison, the facility's pricing is benchmarked against the Medicare amount of $106.81, which serves as a scientifically validated baseline for the true cost of care. If a patient receives an itemized bill that differs from this negotiated amount, they should request a full line-by-line audit to identify potential errors such as code unbundling or services not rendered, as over 80% of hospital bills contain inaccuracies. Furthermore, under the No Surprises Act