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.
Original text from hospital filings
Rad Exam Spine Lumbosacral; 4vw Min
LAFAYETTE, IN
See all hospitals reporting CPT 72110 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $417 is 159% above the median hospital's median price ($161), higher than 82% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 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 in mcd-wir-lafayette fee schedule · both | $91.46 | $91.46 | $91.46 – $91.46 |
| 2 | Bcbs In anthem blue access ppo-cid fee schedule · both | $103.48 | $103.48 | $103.48 – $103.48 |
| 3 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $103.48 | $103.48 | $103.48 – $103.48 |
| 4 | Medicare medicare-wir-lafayette other · both | $109.34 | $109.34 | $108.07 – $110.61 |
| 5 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · both | $109.75 | $109.75 | $109.75 – $109.75 |
| 6 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $250.18 | $250.18 | $250.18 – $250.18 |
| 7 | Blue Cross Blue Shield anthem franciscan employee copps- all locations other · both | $267.47 | $267.47 | $267.47 – $267.47 |
| 8 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette other · both | $323.42 | $323.42 | $323.42 – $323.42 |
| 9 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette other · both | $366.41 | $366.41 | $366.41 – $366.41 |
| 10 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $375.41 | $375.41 | $375.41 – $375.41 |
| 11 | Bcbs Il anthem blue access ppo with copps - lafayette other · both | $409.40 | $409.40 | $409.40 – $409.40 |
| 12 | Bcbs In anthem blue access ppo with copps - lafayette other · both | $409.40 | $409.40 | $409.40 – $409.40 |
| 13 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette other · both | $409.40 | $409.40 | $409.40 – $409.40 |
| 14 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $416.83 | $416.83 | $416.83 – $416.83 |
| 15 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $459.12 | $459.12 | $459.12 – $459.12 |
| 16 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $582.27 | $582.27 | $582.27 – $582.27 |
| 17 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $592.88 | $592.88 | $592.88 – $592.88 |
| 18 | Aetna aetna-wid percent of total billed charges · bothfrom % of charges | $611.00 | $611.00 | $611.00 – $611.00 |
| 19 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $690.40 | $690.40 | $690.40 – $690.40 |
Last updated: Jan 1, 2026
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