CMS Price Transparency Data

X-ray, lower back

Facility: Kosciusko Community Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $121
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Kosciusko Community Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.13x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $62 (58%)
Insurance Median: $121 (113%)
Cash: $62 (58% of Medicare)
Ins. Median: $121 (113% 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 $9 - $374 8%
Self Pay $9 - $695 8%
Lutheran Preferred Network $13 - $1,426 12%
Php Freedom Network $16 - $688 15%
Physicians Health Plan $16 - $821 15%
UnitedHealthcare $16 - $937 15%
Aetna $17 - $948 16%
Encore $17 - $713 16%
Connecticut General Life Insurance Company $25 - $1,050 23%
Cigna $27 - $1,126 25%
First Health Network $32 - $1,336 30%
Prime Health Services $32 - $1,336 30%
Advantage Health $35 - $1,479 33%
Private Healthcare Systems $36 - $1,533 34%
Sagamore $37 - $1,675 35%
Encore Health Network $39 - $1,657 37%
Veterans Eval Services $42 - $98 39%
One Call Care Diagnostics Wc $50 47%
Caresource $70 - $91 66%
Blue Cross Blue Shield $91 - $455 85%
Humana $91 - $117 85%
Managed Health Services $91 85%
Medicaid / KanCare $91 85%
Mhs $91 - $117 85%
Tricare $105 98%
Department Of Veterans Affairs $111 104%
Medicare (plans) $117 110%
Iu Health $118 110%
Node Non Par Hospice Agree $118 110%
Node Va $118 110%
Node Devoted Health Mcr Adv $119 111%
In Dept Of Correction $123 115%
Node Pphp Mcr Adv $124 116%
Us Department Of Labor $148 139%
Lutheran Advanced Network $178 167%
Lutheran Preferred $178 - $237 167%
Align In Work Comp $190 178%
One Call Work Comp $190 178%
Encore Work Comp In $213 199%
Managed Health Services Exchange $237 222%
Workers Comp $237 222%
Encore Kba Epo $284 266%
Encore Kba Ppo $355 332%
Trma Inc $376 - $396 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals