CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Lutheran Hospital of Indiana

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $61
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Lutheran Hospital of Indiana is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.69x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $24 (27%)
Insurance Median: $61 (69%)
Cash: $24 (27% of Medicare)
Ins. Median: $61 (69% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 $7 - $446 8%
Ky Work Comp $8 - $284 9%
Amish Aid $9 - $339 10%
Lutheran Preferred Network $9 - $677 10%
Self Pay $9 - $406 10%
Cigna $10 - $410 11%
Php Freedom Network $10 - $122 11%
Blue Cross Blue Shield $11 - $419 12%
Aetna $12 - $537 13%
Lutheran Preferred $12 - $452 13%
Sagamore $14 - $611 16%
Encore Ppo $15 - $552 17%
Lutheran Network $15 - $564 17%
Multiplan $22 - $937 25%
Prime Health Services $22 - $847 25%
Advantage Health Solutions $25 - $937 28%
Encore Health Network $25 - $1,016 28%
UnitedHealthcare $26 - $557 29%
Allied Benefit Systems $27 - $1,016 30%
Evolutions $27 - $1,016 30%
Veterans Eval Services $30 - $81 34%
Spreemo $32 36%
One Call Care Diagnostics $37 42%
Care Source $66 74%
Humana $66 - $91 74%
Managed Health Services $66 - $184 74%
Medicaid / KanCare $66 74%
Tricare $87 98%
Iu Health Plan $91 102%
Medicare (plans) $91 102%
Department Of Veterans Affairs $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Hospice Non Par Agree $92 103%
Node Va $92 103%
In Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Lutheran Advanced Network $138 155%
Node Lutheran Network $138 - $161 155%
Node Lutheran Preferred Fixed 2 $138 155%
Align Network $147 165%
Encore Work Comp In $166 187%
Node Encore Kba Epo $221 249%
Node Encore Kba Ppo $276 310%

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