CMS Price Transparency Data

X-ray, lower back

Facility: St Joseph Health System, LLC

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $76
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at St Joseph Health System, LLC is $76. 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 0.71x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $76 (71%)
Cash: $33 (31% of Medicare)
Ins. Median: $76 (71% 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
Amish Aid $10 - $463 9%
Php $10 - $770 9%
Self Pay $10 - $1,060 9%
Lutheran Preferred $12 - $1,157 11%
Php Freedom Network $13 - $154 12%
Cigna $14 - $1,928 13%
Blue Cross Blue Shield $15 - $699 14%
Aetna $19 - $1,311 18%
Encore Ppo $21 - $1,735 20%
Sagamore $22 - $1,043 21%
Lutheran Network $23 - $1,060 22%
Multiplan $29 - $1,504 27%
First Health $32 - $1,446 30%
Prime Health Services $32 - $1,446 30%
Align Network $34 - $1,542 32%
Frontpath Health Coalition $34 - $1,542 32%
Advantage Health Solutions $35 - $1,600 33%
UnitedHealthcare $35 - $960 33%
Allied Benefit Systems $38 - $1,735 36%
Medical Mutual Of Ohio $42 - $1,928 39%
Parkview Healthplan Services $42 - $1,928 39%
Value Options $42 - $1,928 39%
Veterans Eval Services $42 - $98 39%
Spreemo $43 40%
Caresource $91 85%
Humana $91 - $109 85%
Managed Health Services $91 - $221 85%
Medicaid / KanCare $91 85%
Tricare $105 98%
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%
Encore Work Comp In $199 186%
Work Comp $221 207%
Encore Kba Epo $265 248%
Encore Kba Ppo $332 311%
Three Rivers $396 371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals