CMS Price Transparency Data

X-ray, lower back

Facility: The Children's Mercy Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $35
  • Cash Discount Price: $205
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at The Children's Mercy Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.33x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.
Cash / Self-Pay
$205

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $205 (192%)
Insurance Median: $35 (33%)
Cash: $205 (192% of Medicare)
Ins. Median: $35 (33% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Healthy Blue $11 - $273 10%
UnitedHealthcare $11 - $547 10%
Medicaid / KanCare $12 - $70 11%
Cigna $14 - $566 13%
Healthlink $16 - $716 15%
Wppa Providrs Care $16 - $529 15%
Health Midwest Comprehensive Care $17 - $530 16%
Home State Health $17 - $240 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%
Medica $24 - $475 22%
Nebraska Furniture Mart $24 - $529 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%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 Gillham Road, Kansas City, MO 64108
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens