Lumbosacral spine X-ray, 2 to 3 views at Mishawaka Medical Center

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

HC Xr Lumbosacral Spine 2-3 Views

Mishawaka, IN

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Pricing by billing methodology

Price type

How this price compares nationally

Mishawaka Medical Center’s median price of $383 is 165% above the median hospital's median price ($144), higher than 86% 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 Mishawaka Medical Center

Negotiated rates from the hospital’s own file: 14 payers, 27 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	Aetna medicaid facility · other · both	$57.25	$57.25	$57.25 – $57.25
2	Blue Cross Blue Shield medicaid facility · other · both	$57.25	$57.25	$57.25 – $57.25
3	Molina medicaid facility · other · both	$57.25	$57.25	$57.25 – $57.25
4	UnitedHealthcare medicaid facility · other · both	$57.25	$57.25	$57.25 – $57.25
5	Anthem anthem bcbs medicaid hhw hcc facility · fee schedule · both	$66.34	$66.34	$66.34 – $66.34
6	Anthem anthem bcbs medicaid hip facility · fee schedule · both	$66.34	$66.34	$66.34 – $66.34
7	Caresource caresource medicaid facility · fee schedule · both	$66.34	$66.34	$66.34 – $66.34
8	UnitedHealthcare united healthcare medicaid facility · fee schedule · both	$66.34	$66.34	$66.34 – $66.34
9	Aetna aetna medicare advantage facility · other · both	$108.40	$108.40	$108.40 – $108.40
10	Anthem anthem bcbs medicare advantage facility · other · both	$108.40	$108.40	$108.40 – $108.40
11	Blue Cross Blue Shield anthem bcbs healthy medicare advantage facility · other · both	$108.40	$108.40	$108.40 – $108.40
12	UnitedHealthcare united healthcare medicare advantage facility · other · both	$110.57	$110.57	$110.57 – $110.57
13	Aetna aetna marketplace facility · other · both	$171.45	$171.45	$171.45 – $171.45
14	Caresource caresource hmo marketplace facility · other · both	$171.45	$171.45	$171.45 – $171.45
15	UnitedHealthcare united healthcare charter facility · percent of total billed charges · bothfrom % of charges	$190.84	$190.84	$190.84 – $190.84
16	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$375.19	$375.19	$375.19 – $375.19
17	Cigna sagamore facility · percent of total billed charges · bothfrom % of charges	$376.96	$376.96	$376.96 – $376.96
18	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$382.85	$382.85	$382.85 – $382.85
19	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$382.85	$382.85	$382.85 – $382.85
20	Anthem anthem bcbs facility · other · both	$390.51	$390.51	$390.51 – $390.51
21	Blue Cross Blue Shield anthem bcbs facility · other · both	$390.51	$390.51	$390.51 – $390.51
22	Carefirst anthem bcbs facility · other · both	$390.51	$390.51	$390.51 – $390.51
23	Excellus anthem bcbs facility · other · both	$390.51	$390.51	$390.51 – $390.51
24	Highmark anthem bcbs facility · other · both	$390.51	$390.51	$390.51 – $390.51
25	Premera anthem bcbs facility · other · both	$390.51	$390.51	$390.51 – $390.51

Page 1 of 2 · 27 rates

Last updated: Mar 31, 2026

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