X-ray, lower back
Facility: Centura St. Catherine-Dodge City
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $648
- Cash Discount Price: $394
- vs. Medicare Baseline: 6.07x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 607% of the Medicare baseline (a markup of 507%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Humana | $34 | 32% |
| Kansas Health | $34 | 32% |
| Medicare (plans) | $34 | 32% |
| Kaiser | $34 | 32% |
| Aetna | $34 - $787 | 32% |
| Cigna | $34 | 32% |
| Blue Cross Blue Shield | $34 - $292 | 32% |
| Centura Employee Plan | $91 | 85% |
| UnitedHealthcare | $648 | 607% |
| Wpaa | $689 | 645% |
| Multiplan | $787 - $886 | 737% |
| Christian Health Aid | $787 | 737% |
| Health Partners Of Kansas | $886 | 830% |
Consumer Guidance & Cost Commentary
For CPT code 72110, an X-ray of the lower back at Centura St. Catherine-Dodge City, the facility's cash median rate is $394.00, which is significantly lower than the state average of $648.00. While the facility's gross charge is $984.00, patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as commercial negotiated rates often exceed cash prices due to administrative overhead. The data shows that while some payers like Aetna and Blue Cross Blue Shield have negotiated ranges extending up to $787 and $292 respectively, the cash price remains the most transparent baseline. Patients should verify their specific plan's deductible status before scheduling, as paying the full cash rate upfront can sometimes result in immediate savings compared to the higher allowed amounts processed by insurers.
It is important to note that the facility's cash rate of $394.00 is also lower than the Medicare benchmark of $106.81 when adjusted for the specific context of this service, though the primary comparison for commercial pricing is against the state average. The No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, but patients should still request a prompt-pay discount if they choose to pay self-pay, which can bypass the costly claims processing cycle. To avoid unexpected costs, consumers should demand a full itemized bill rather than accepting a summary invoice, ensuring that all charges are accurate and that no unbundled codes or services not rendered are included. Always contact the hospital directly to confirm self-pay or prompt-pay discounts before finalizing any payment plan.