CMS Price Transparency Data

X-ray, lower back

Facility: Bluffton Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $91
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Bluffton Regional Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.85x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$40

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: $40 (37%)
Insurance Median: $91 (85%)
Cash: $40 (37% 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
Amish Aid $10 - $528 9%
Physicians Health Plan $10 - $89 9%
Self Pay $10 - $1,210 9%
Cigna $13 - $779 12%
Lutheran Preferred Network $13 - $1,760 12%
Php $13 - $100 12%
Php Freedom Network $13 - $154 12%
Aetna $15 - $981 14%
Php Management Systems $16 - $852 15%
UnitedHealthcare $20 - $1,087 19%
Encore Ppo $21 - $1,076 20%
Sagamore Sebt $21 - $1,124 20%
Sagamore Health Newtork Inc $23 - $1,179 22%
Consumer Life $26 - $1,364 24%
Ahg Dana Employees $27 - $1,430 25%
Align Networks $29 - $1,540 27%
Prime Health Services $32 - $1,650 30%
Private Healthcare Systems Inc $32 - $1,650 30%
Encore Health Network $34 - $1,980 32%
Multiplan $34 - $1,760 32%
Advantage 360 $35 - $1,826 33%
Community Health Alliance $36 - $1,870 34%
First Health $36 - $1,892 34%
Allied Benefit Systems $38 - $1,980 36%
Cardinal Health Alliance $38 - $1,980 36%
Ppom $38 - $1,980 36%
Veterans Eval Services $42 - $98 39%
Blue Cross Blue Shield $91 - $455 85%
Caresource $91 85%
Humana $91 - $111 85%
Medicaid / KanCare $91 85%
Mhs $91 85%
Mhs In Hip $91 85%
Tricare $105 98%
Medicare (plans) $109 102%
Node Iu Health Mcr Adv $109 102%
Node Mhs Mcr Adv $109 102%
Department Of Veterans Affairs $111 104%
Node Caresource Mcr Adv $111 104%
Node Devoted Health Mcr Adv $111 104%
Node Non Par Hospice Agree $111 104%
Node Va $111 104%
Northeast Hospice $111 104%
County Jail Health Care $115 108%
In Dept Of Correction $115 108%
Node Pphp Mcr Adv $116 109%
Us Department Of Labor $138 129%
Lutheran Advanced Network $166 155%
Lutheran Three Rivers Preferred Plus 150 $166 155%
Lutheran Three Rivers Preferred Plus 175 $194 182%
Encore Work Comp In $199 186%
Lutheran Northwest Health Preferred $221 207%
Managed Health Services Exchange $221 207%
Workers Compensation $221 207%
Encore Kba Epo $265 248%
Encore Kba Ppo $332 311%
Lutheran Trma $376 - $396 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals