CMS Price Transparency Data

X-ray, lower back

Facility: Putnam County Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $267
  • Cash Discount Price: $421
  • vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Putnam County Hospital is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $421. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.50x the Medicare baseline. Located in 1542 S Bloomington St, Greencastle, IN.
Cash / Self-Pay
$421

Average discount available for prompt cash payment at this facility.

Insurance Median
$267

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: $421 (394%)
Insurance Median: $267 (250%)
Cash: $421 (394% of Medicare)
Ins. Median: $267 (250% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 250% of the Medicare baseline (a markup of 150%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Caresource Hip Mcaid $23 22%
Caresource Hoosier Healthwise $23 22%
Blue Cross Blue Shield $100 - $614 94%
Caresource Just4Me - All Other Plans $106 - $241 99%
Caresource Mcr Advantage $106 - $241 99%
Humana $106 - $567 99%
Indiana Univeristy Qhp $151 - $344 141%
Indiana University Plan $151 - $344 141%
Sagamore Health Ip-All Plans $263 - $598 246%
Cigna $278 - $633 260%
Aetna $287 - $653 269%
Encore-All Plans $287 - $653 269%
UnitedHealthcare $287 - $653 269%
Indiana Health Network Ip-All Other Plans $293 - $667 274%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1542 S Bloomington St, Greencastle, IN 46135
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals