CMS Price Transparency Data

X-ray, lower back

Facility: Mary Lanning Healthcare

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $109
Cash Discount Price: $300
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Mary Lanning Healthcare is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$300

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $300 (281%)

Insurance Median: $109 (102%)

Cash: $300 (281% of Medicare)

Ins. Median: $109 (102% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Tricare	$11 - $102	10%
Aetna	$12 - $434	11%
Blue Cross Blue Shield	$12 - $493	11%
Medica Mcr Adv	$12 - $109	11%
Ne Total Care Mcr Adv	$12 - $109	11%
UnitedHealthcare	$12 - $469	11%
Va Ccn - All Plans	$12 - $109	11%
Consociate Inc-All Plans	$19 - $414	18%
Ambetter / Centene	$20 - $489	19%
Medica-All Other Plans	$21 - $429	20%
Nhn/Mna-All Plans	$22 - $400	21%
Midlands Choice-All Plans	$36 - $444	34%
Workers Compensation-All Plans	$134 - $483	125%
Multiplan-All Plans	$156 - $469	146%
Provider Network Of America-All Plans	$156 - $444	146%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $300.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mary Lanning Healthcare is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.