X-ray, lower back
Facility: Children'S Mercy South
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $35
- Cash Discount Price: $205
- vs. Medicare Baseline: 0.33x 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 |
|---|---|---|
| UnitedHealthcare | $11 - $547 | 10% |
| Healthy Blue | $11 - $273 | 10% |
| Medicaid / KanCare | $12 - $70 | 11% |
| Cigna | $14 - $566 | 13% |
| Healthlink | $16 - $716 | 15% |
| Wppa Providrs Care | $16 - $529 | 15% |
| Home State Health | $17 - $240 | 16% |
| Health Midwest Comprehensive Care | $17 - $530 | 16% |
| American Healthcare Alliance | $18 - $692 | 17% |
| Quiktrip | $21 - $530 | 20% |
| Blue Cross Blue Shield | $22 - $602 | 21% |
| Wellfit/Centrus | $23 - $529 | 22% |
| Centivo | $24 - $529 | 22% |
| Nebraska Furniture Mart | $24 - $529 | 22% |
| Medica | $24 - $475 | 22% |
| Aetna | $27 - $554 | 25% |
| Multiplan | $27 - $619 | 25% |
| Coxhealth Network | $30 - $602 | 28% |
| Humana | $30 - $541 | 28% |
| Mercy Health | $30 - $610 | 28% |
| Orscheln | $30 - $529 | 28% |
| Coventry Health Care Of Kansas | $35 - $602 | 33% |
| National Preferred Provider Network | $36 - $733 | 34% |
Consumer Guidance & Cost Commentary
For the X-ray of the lower back (CPT code 72110) at Children's Mercy South in Overland Park, KS, the facility's cash price is $205.00, which is significantly lower than the gross charge of $428.00. While commercial insurance negotiated rates range from $11 to $733 across 23 different payers, patients with high-deductible plans may find the cash price more affordable if their insurance allows a negotiated rate higher than $205.00. It is important to note that commercial rates often include administrative overhead and contract markups that can inflate the baseline price by 20% to 40%, making direct comparison to the Medicare benchmark of $106.81 a more accurate measure of the facility's cost basis.
To maximize savings, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing costly insurance claims processing. Additionally, because over 80% of hospital bills contain errors, consumers are advised to request a full itemized audit before paying any balance bill, ensuring no services were unbundled or double-charged. While the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, patients should still confirm their deductible status and ensure they are not inadvertently signing away rights to dispute out-of-network ancillary charges.