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Lumbosacral spine X-ray

CPT 72100 · negotiated-rate distribution across hospitals in IN

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Hospitals
20
Min
$24.05
Median
$24.05
Max
$421.51
Range multiplier
17.5×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS6220$8.38$24.05$370.7444.2×
UnitedHealthcare777$4.83$24.48$235.6948.8×
Medicaid672$8.38$16.50$24.883.0×
mhs care connect636$8.38$16.50$24.883.0×
Aetna715$77.83$218.82$250.003.2×
patoka valley tier 2614$24.05$24.05$24.051.0×
patoka valley tier 1614$24.05$24.05$24.051.0×
Cigna18$107.81$219.34$327.263.0×
smarthealth ppo/hdhp 2016100166$34.97$34.97$34.971.0×
encore exclusive66$24.05$24.05$24.051.0×
smarthealth ppo66$34.97$34.97$34.971.0×
Humana14$104.61$107.28$107.811.0×
pace place12$106.74$106.74$106.741.0×
WellCare12$106.74$106.74$106.741.0×
Ambetter12$202.81$202.81$202.811.0×
avmed exchange12$192.13$192.13$192.131.0×
bc advantage mcr replacement12$106.74$106.74$106.741.0×
Blue Cross Blue Shield12$106.74$106.74$106.741.0×
careplus mcr replacement12$108.87$108.87$108.871.0×
employer direct healthcare12$186.79$186.79$186.791.0×
Medicare12$106.74$106.74$106.741.0×
Medicare Advantage12$108.87$108.87$108.871.0×
Molina12$197.47$197.47$197.471.0×
occunet12$197.47$218.82$240.161.2×
Oscar Health12$170.78$170.78$170.781.0×
research study encore borland-groover12$106.74$106.74$106.741.0×
smarthealth12$149.44$149.44$149.441.0×
VA Health12$106.74$106.74$106.741.0×
90 degree benefits12$192.13$192.13$192.131.0×
haven hospice11$106.74$106.74$106.741.0×
community hospice11$106.74$106.74$106.741.0×
america's choice provider11$393.41$393.41$393.411.0×
prime health services11$477.71$477.71$477.711.0×
quik trip11$421.51$421.51$421.511.0×
usa managed care organization11$421.51$421.51$421.511.0×
velocity provider ppo network11$421.51$421.51$421.511.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rehabilitation Hospital Of IndianaIndianapolisIN5$562.01$562.01$393.41$421.51$477.71
St. Mary Medical Center Inc.HobartIN10$469.00$281.40$4.83$24.05$312.73
Ascension St. Vincent WarrickBoonevilleIN10$469.00$281.40$4.83$24.05$312.73
Ascension St. Vincent JenningsNorth VernonIN10$504.00$302.40$4.83$24.05$336.07
Ascension St Vincent Seton SpecialtyIndianapolisIN10$400.00$240.00$4.83$24.05$266.72
St Vincent Seton Specialty Hosp-LafLafayetteIN10$400.00$240.00$4.83$24.05$266.72
Ascension St. Vincent WilliamsportWilliamsportIN10$556.00$333.60$4.83$24.05$370.74
Ascension St. Vincent DunnBedfordIN23$884.50$327.27$77.83$109.94$327.26
Dupont HospitalFort WayneIN0$1,378.00$620.10
Laporte HospitalLaporteIN0$593.38$320.43
Dukes Memorial HospitalPeruIN0$1,008.00$554.40
Margaret Mary Community HospitalBatesvilleIN0$219.40$184.30
Lutheran Musculoskeletal CenterFort WayneIN0$1,352.00$365.04
Marion General HospitalMarionIN0$295.00$177.00
Lutheran Hospital Of IndianaFt WayneIN0$1,343.00$483.48
Porter Regional HospitalValparaisoIN0$1,003.00$361.08
Good Samaritan HospitalVincennesIN0$260.07$254.87
Schneck Medical CenterSeymourIN0$499.00$349.30
Bluffton Regional Medical CenterBlufftonIN0$1,282.00$705.10
Starke Memorial HospitalKnoxIN0$593.38$326.36

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.