CMS Price Transparency Data

X-ray, pelvis

Facility: Lutheran Hospital of Indiana

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $39
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 0.37x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Lutheran Hospital of Indiana is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.37x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $16 (15%)
Insurance Median: $39 (37%)
Cash: $16 (15% of Medicare)
Ins. Median: $39 (37% 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
Ky Work Comp $6 - $204 6%
Physicians Health Plan Of Northern Indiana $6 - $319 6%
Amish Aid $7 - $243 7%
Lutheran Preferred Network $7 - $485 7%
Self Pay $7 - $291 7%
Cigna $8 - $294 7%
Php Freedom Network $8 - $86 7%
Blue Cross Blue Shield $9 - $455 8%
Aetna $10 - $385 9%
Lutheran Preferred $10 - $324 9%
Sagamore $11 - $438 10%
Encore Ppo $12 - $396 11%
Lutheran Network $12 - $404 11%
Multiplan $18 - $671 17%
Prime Health Services $18 - $607 17%
UnitedHealthcare $18 - $399 17%
Advantage Health Solutions $20 - $671 19%
Encore Health Network $20 - $728 19%
Allied Benefit Systems $22 - $728 21%
Evolutions $22 - $728 21%
Spreemo $22 21%
Veterans Eval Services $24 - $97 22%
One Call Care Diagnostics $26 24%
Care Source $54 51%
Humana $54 - $109 51%
Managed Health Services $54 - $221 51%
Medicaid / KanCare $54 51%
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%
Node Encore Kba Epo $265 248%
Node Encore Kba Ppo $332 311%

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