CMS Price Transparency Data

X-ray, lower back

Facility: Lutheran Hospital of Indiana

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $91
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Lutheran Hospital of Indiana is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.85x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $33 (31%)
Insurance Median: $91 (85%)
Cash: $33 (31% of Medicare)
Ins. Median: $91 (85% 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
Physicians Health Plan Of Northern Indiana $10 - $718 9%
Ky Work Comp $11 - $458 10%
Amish Aid $13 - $545 12%
Lutheran Preferred Network $13 - $1,091 12%
Self Pay $13 - $654 12%
Cigna $14 - $660 13%
Php Freedom Network $14 - $164 13%
Blue Cross Blue Shield $16 - $674 15%
Aetna $17 - $865 16%
Sagamore $19 - $984 18%
Encore Ppo $21 - $889 20%
Multiplan $31 - $1,509 29%
Prime Health Services $32 - $1,364 30%
Encore Health Network $34 - $1,636 32%
Advantage Health Solutions $35 - $1,509 33%
UnitedHealthcare $35 - $896 33%
Allied Benefit Systems $38 - $1,636 36%
Evolutions $38 - $1,636 36%
Veterans Eval Services $42 - $98 39%
Spreemo $43 40%
One Call Care Diagnostics $50 47%
Care Source $91 85%
Humana $91 - $109 85%
Managed Health Services $91 - $221 85%
Medicaid / KanCare $91 85%
Tricare $105 98%
Iu Health Plan $109 102%
Medicare (plans) $109 102%
Department Of Veterans Affairs $111 104%
Node Devoted Health Mcr Adv $111 104%
Node Hospice Non Par Agree $111 104%
Node Va $111 104%
In Dept Of Correction $115 108%
Node Pphp Mcr Adv $116 109%
Us Department Of Labor $138 129%
Lutheran Advanced Network $166 155%
Node Lutheran Network $166 - $194 155%
Node Lutheran Preferred Fixed 2 $166 155%
Align Network $177 166%
Encore Work Comp In $199 186%
Lutheran Network $221 - $396 207%
Node Encore Kba Epo $265 248%
Node Encore Kba Ppo $332 311%
Lutheran Preferred $376 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals