X-ray, lower back
Facility: Regional Medical Center
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $870
- Cash Discount Price: $388
- vs. Medicare Baseline: 8.15x 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 815% of the Medicare baseline (a markup of 715%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 815% |
Consumer Guidance & Cost Commentary
For an X-ray of the lower back at Regional Medical Center in Manchester, Iowa, the cash median price is $388. This facility, a Government - Local Critical Access Hospital, sets this rate significantly lower than the state average of $485. While the facility's median negotiated rate with Medical Associates Health Plan - Tri is $870, the cash price of $388 may offer substantial savings for patients with high-deductible plans or those who have already met their out-of-pocket limits, as the insurance negotiated rate exceeds the cash price by nearly double.
The Medicare amount for this procedure is $106.81, which serves as a key benchmark for understanding the facility's pricing structure. Although the facility's rating is 4, patients should be aware that commercial rates often include administrative overhead that can inflate the baseline price. To maximize savings, consumers are encouraged to explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying the bill in full upfront can sometimes reduce the total cost further. Additionally, if a patient receives a summary bill, they should request a full itemized CPT-coded statement to verify that no unbundled codes or services not rendered have inflated the final charge.