X-ray, lower back
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $100
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Aetna | $46 - $148 | 43% |
| Medicare (plans) | $98 - $100 | 92% |
| Vc Hope | $98 | 92% |
| Humana | $98 | 92% |
| Va | $98 | 92% |
| Blue Cross Blue Shield | $100 | 94% |
| UnitedHealthcare | $100 - $275 | 94% |
| Coventry City Of Wichita | $102 | 95% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Cigna | $236 | 221% |
Consumer Guidance & Cost Commentary
For the X-ray, lower back procedure (CPT 72110), the negotiated rates for in-network payers range from $46 to $275, with a median negotiated amount of $100.00. This facility, Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, has a Medicare benchmark of $106.81, which serves as the objective baseline for evaluating pricing fairness. While some commercial plans like Aetna have lower negotiated rates starting at $46, others such as UnitedHealthcare can reach up to $275. It is important to note that cash-pay options are not listed for this service, meaning patients without insurance coverage would need to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can sometimes offer significant savings compared to the standard negotiated rates.
Patients should be aware that insurance negotiated rates often exceed the true cost of care, which is reflected in the Medicare benchmark. For instance, while the median negotiated rate is $100.00, the Medicare rate of $106.81 indicates that the commercial pricing structure may include administrative markups or regional variations. If you have a high-deductible plan, paying out-of-pocket might be more cost-effective if the cash price is lower than your deductible, though this specific service does not currently list a cash price. To avoid unexpected costs, we recommend requesting a detailed itemized bill to verify all charges and disputing any errors, as over 80% of hospital bills contain inaccuracies. Always confirm with the billing department whether "self-pay" or "prompt-pay" discounts are available before scheduling your appointment.