Lumbosacral spine X-ray, 2 to 3 views at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Rad Exam Spine Lumbosacral;2/3 Vw

DYER, IN

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How this price compares nationally

FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $352 is 144% above the median hospital's median price ($144), higher than 84% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72100 at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER

Negotiated rates from the hospital’s own file: 8 payers, 63 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medicaid anthem care connect [315015] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
2	Medicaid anthem healthy indiana plan [301498] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
3	Medicaid anthem medicaid [109201] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
4	Medicaid anthem pathways for aging [324049] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
5	Medicaid humana healthy horizons in indiana [324050] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
6	Medicaid in mcd-nir-dyer fee schedule · both	$66.34	$66.34	$66.34 – $66.34
7	Medicaid mdwise excel hhw [318029] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
8	Medicaid mdwise excel hip [318028] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
9	Medicaid medicaid in traditional [109206] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
10	Medicaid united healthcare care connect [321005] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
11	Medicaid united healthcare pathways for the aging [324051] fee schedule · both	$66.34	$66.34	$66.34 – $66.34
12	Bcbs In anthem blue access ppo-cid fee schedule · both	$75.38	$75.38	$75.38 – $75.38
13	Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both	$75.38	$75.38	$75.38 – $75.38
14	Medicaid caresource hhw [316039] fee schedule · both	$79.61	$79.61	$79.61 – $79.61
15	Medicaid caresource hip [316038] fee schedule · both	$79.61	$79.61	$79.61 – $79.61
16	Medicaid in mcd dyer caresource 120% of in mcd fee schedule · both	$79.61	$79.61	$79.61 – $79.61
17	Medicare medicare-nir-dyer other · both	$109.34	$109.34	$108.07 – $110.61
18	Medicare medicare part a & b [109993] other · both	$110.61	$110.61	$110.61 – $110.61
19	Medicare medicare part b [109992] other · both	$110.61	$110.61	$110.61 – $110.61
20	Aetna aetna-nid-dyer-munster-crn point fee schedule · both	$250.18	$250.18	$250.18 – $250.18
21	Blue Cross Blue Shield anthem franciscan alliance employee ins [319071] other · both	$267.47	$267.47	$267.47 – $267.47
22	Blue Cross Blue Shield anthem franciscan employee copps- all locations other · both	$267.47	$267.47	$267.47 – $267.47
23	Blue Cross Blue Shield anthem healthsync hpn [322022] other · both	$278.29	$278.29	$278.29 – $278.29
24	Cigna cigna localplus-nid percent of total billed charges · bothfrom % of charges	$313.30	$313.30	$313.30 – $313.30
25	Blue Cross Blue Shield anthem healthsync [319068] other · both	$315.27	$315.27	$315.27 – $315.27

Page 1 of 3 · 63 rates

Last updated: Jan 1, 2026

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