X-ray, lower back
Facility: William Newton Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $152
- Cash Discount Price: $312
- vs. Medicare Baseline: 1.42x 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 |
|---|---|---|
| Triwest- All Plans | $109 | 102% |
| UnitedHealthcare | $112 - $281 | 105% |
| Blue Cross Blue Shield | $112 - $236 | 105% |
| Ambetter / Centene | $112 - $312 | 105% |
| Providrs Care Nexus | $191 | 179% |
| Providrs Care - All Other Plans | $218 | 204% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back at William Newton Hospital in Winfield, KS, the cash price is $312.00, which matches the facility's gross charge and the median cash rate. This cash price is significantly higher than the state average for this service, as indicated by a ratio of 1.4 times the Medicare benchmark of $106.81. While commercial insurance plans like UnitedHealthcare and Blue Cross Blue Shield have negotiated rates ranging from $112 to $312, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying cash directly can be the most cost-effective option, provided you confirm with the hospital's billing department about available self-pay or prompt-pay discounts before scheduling your visit.
The facility is a Critical Access Hospital owned by the local government, and its pricing reflects the specific contract dynamics of in-network insurance carriers. Although the median negotiated rate across all payers is $152.00, individual plans may see different amounts, with some reaching as high as $312.00. It is important to understand that commercial rates are often inflated by administrative costs and contract structures, making them higher than the Medicare benchmark which represents the true cost of care. To ensure you are receiving the best possible rate, always verify your specific plan's allowed amount and ask the hospital to classify your account as self-pay if you intend to pay in full upfront, potentially avoiding the higher administrative fees associated with insurance billing.