X-ray, lower back
Facility: Neosho Memorial Regional Medical Center
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $190
- Cash Discount Price: $446
- vs. Medicare Baseline: 1.78x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Tricare | $183 | 171% |
| Medadv_Uhc | $190 | 178% |
| Blue Cross Blue Shield | $190 - $274 | 178% |
| Humana | $190 | 178% |
| Medicare (plans) | $190 | 178% |
| Aetna | $190 | 178% |
| Medadv_Allwell | $190 | 178% |
| Va_Ccn | $190 | 178% |
| Ambetter / Centene | $300 | 281% |
| Wppa_Providrscare | $494 | 463% |
| United | $495 | 463% |
| Coventry | $565 | 529% |
| Hpk | $565 | 529% |
| Cigna | $565 | 529% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back (CPT 72110) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median price is $446.00, which is lower than the negotiated rates paid by most major insurers. While the facility's cash rate is significantly below the gross chargemaster of $595.00, it is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be cheaper than the insurance negotiated rate, which averages $190.00 for many payers but reaches up to $565.00 for others like Coventry and Cigna. Because this is a Critical Access Hospital with government local ownership, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final cost.
The data indicates that the facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $106.81 for this procedure. Commercial negotiated rates often exceed this baseline due to administrative costs and contract dynamics, yet the facility's cash price remains competitive. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, unexpected charges can still occur if ancillary services are out-of-network. To ensure accuracy, consumers should request a full itemized bill to verify that all charges correspond to services actually rendered and to identify any potential errors, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit.