X-ray, lower back
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $188
- Cash Discount Price: $250
- vs. Medicare Baseline: 1.76x 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 |
|---|---|---|
| Blue Cross Blue Shield | $150 | 140% |
| Americas Choice Provider Network | $175 | 164% |
| Usa Managed Care Organization | $188 | 176% |
| Velocity | $188 | 176% |
| Provider Network Of America | $188 | 176% |
| Quiktrip Corporation | $188 | 176% |
| Multiplan-Phcs | $200 | 187% |
| Prime Health Services | $213 | 199% |
| Medincrease | $225 | 211% |
Consumer Guidance & Cost Commentary
For the X-ray, lower back procedure (CPT 72110), the Rehabilitation Hospital Of Overland Park lists a cash price of $250.00, which matches the facility's cash median. While the facility's negotiated rates with various payers range from $150 to $225, these amounts are often higher than the cash price due to the administrative costs and claim processing fees inherent in insurance billing. For patients with high-deductible plans, paying the cash price of $250.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates can sometimes exceed the cash amount. It is important to verify if the facility offers "self-pay" or "prompt-pay" discounts, which can provide a fee reduction of 20% to 50% for upfront payments, effectively lowering the total cost below the listed cash price.
The Medicare benchmark for this service is $106.81, and the facility's cash rate is 1.8 times the Medicare amount. This markup is common in commercial settings, where negotiated rates reflect the provider's full cost plus a margin for administrative overhead. Since the facility is a Part A Provider - Hospital located in Overland Park, KS (ZIP 66207), patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act. If a patient receives a bill that appears to include charges for services not rendered or unbundled components, they should request a formal, itemized billing audit to identify errors before making any payment.