CMS Price Transparency Data

X-ray, lower back

Facility: Dukes Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $50
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Dukes Memorial Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.47x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $53 (50%)
Insurance Median: $50 (47%)
Cash: $53 (50% of Medicare)
Ins. Median: $50 (47% 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
Aetna $8 - $459 7%
Blue Cross Blue Shield $8 - $455 7%
Department Of Veterans Affairs $8 - $179 7%
Humana $8 - $190 7%
Iu Health Plan $8 - $190 7%
Managed Health Services $8 - $386 7%
Medicare (plans) $8 - $190 7%
Node Devoted Health Mcr Adv $8 - $194 7%
Node Va $8 - $466 7%
Tricare $8 - $179 7%
UnitedHealthcare $8 - $475 7%
In Dept Of Correction $9 - $201 8%
Miami County Sheriffs Department $9 - $201 8%
Node Pphp Mcr Adv $9 - $203 8%
Align Network $13 - $309 12%
Lutheran Advanced Network $13 - $290 12%
Lutheran Preferred $13 - $772 12%
Lutheran Three Rivers Preferred Plus 150 $13 - $290 12%
Node Lutheran Preferred Fixed 2 $13 - $290 12%
Encore Work Comp In $15 - $347 14%
Lutheran Three Rivers Preferred Plus 175 $15 - $338 14%
Prime Health Services $15 - $724 14%
Partners Direct Health Llc $16 - $367 15%
Lutheran Northwest Health Preferred $17 - $386 16%
Physicians Health Plan $17 - $450 16%
Work Comp $17 - $386 16%
Cigna $18 - $965 17%
Php Freedom $19 - $446 18%
Three Rivers Preferred $19 - $434 18%
Encore Kba Epo $20 - $463 19%
Amish Aid $21 - $482 20%
Encore Ppo $21 - $482 20%
Self Pay $21 - $531 20%
Sagamore Health Network $23 - $535 22%
Encore Kba Ppo $25 - $579 23%
Consumer Life $26 - $598 24%
Encore Health Network $34 - $791 32%
First Health $34 - $772 32%
Multiplan $34 - $782 32%
Advantage Health Solutions $35 - $801 33%
Encore $38 - $868 36%
Veterans Eval Services $42 - $98 39%
One Call Wc $50 47%
Caresource $70 - $91 66%
Us Department Of Labor $81 76%
Medicaid / KanCare $91 85%
Mhs $91 85%
Three Rivers Preferred Plus $376 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals