CMS Price Transparency Data

X-ray, lower back

Facility: Kona Community Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $124
Cash Discount Price: $441
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Kona Community Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 79-1019 Haukapila Street, Kealakekua, HI.

Cash / Self-Pay

$441

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $441 (413%)

Insurance Median: $124 (116%)

Cash: $441 (413% of Medicare)

Ins. Median: $124 (116% 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
Hmsa	$32 - $138	30%
UnitedHealthcare	$32 - $138	30%
Hawaii Medical Service Association	$32 - $154	30%
Uha	$81	76%
Hmaa	$83	78%
Hma	$94	88%
University Health Alliance	$108	101%
Hawaii Western Management Group	$124	116%
Kaiser Permanente	$124 - $446	116%
Ohana Health Plan	$124 - $136	116%
Alohacare	$124 - $138	116%
Humana	$124 - $138	116%
Devoted Health	$136	127%
Kaiser	$138	129%
Ohana	$138 - $151	129%
Health Management Network	$602	564%
Mdx Hawaii	$687	643%

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 $441.
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 Kona Community Hospital 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.