X-ray, lower back
Facility: Amberwell Atchison Association
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $389
- Cash Discount Price: $760
- vs. Medicare Baseline: 3.64x 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 364% of the Medicare baseline (a markup of 264%). 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 | $236 - $248 | 221% |
| Triwest - All Plans | $251 | 235% |
| Superior Select Mcr Adv - All Plans | $251 | 235% |
| Humana | $251 - $342 | 235% |
| Va Ccn - All Plans | $251 | 235% |
| UnitedHealthcare | $251 - $1,364 | 235% |
| Ambetter / Centene | $389 | 364% |
| Cigna | $418 | 391% |
| Aetna | $418 | 391% |
| Centrus Health Direct - All Plans | $570 | 534% |
| Oscar - All Plans | $570 | 534% |
| Multiplan - All Plans | $593 | 555% |
| Wppa Providrs Care - All Plans | $684 | 640% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back (CPT 72110) at Amberwell Atchison Association in Atchison, KS, the cash price is $760.00, which matches the facility's median negotiated rate of $389.00 and the cash median. While the facility is a Critical Access Hospital with a voluntary non-profit ownership, the data does not provide specific state or county average benchmarks for this procedure to compare against. Patients should note that the Medicare benchmark for this service is $106.81, indicating that the cash price represents a significant markup relative to the federal baseline. If you have a high-deductible plan where your out-of-pocket maximum is already met, paying the cash price of $760.00 directly may be more cost-effective than using insurance, which could result in a negotiated rate exceeding the cash amount due to administrative overhead and contract structures.
Before scheduling, it is crucial to verify your specific insurance plan's allowed amount, as negotiated rates vary significantly among payers, ranging from $236 for Blue Cross Blue Shield to $1,364 for UnitedHealthcare. Even though the facility is in-network for many plans, the actual amount your insurer pays depends on your deductible status and the specific contract terms, which can sometimes result in higher costs than the cash price. To minimize expenses, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront. Additionally, if you receive an itemized bill, request a full line-by-line audit to ensure no unbundled codes