CMS Price Transparency Data
X-ray, pelvis
Facility: Children's Hosp of Los Angeles
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $2
- Cash Discount Price: $4
- vs. Medicare Baseline: 0.02x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Children's Hosp of Los Angeles is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.02x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$4
Average discount available for prompt cash payment at this facility.
Insurance Median
$2
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: $4 (4%)
Insurance Median: $2 (2%)
Cash: $4 (4% of Medicare)
Ins. Median: $2 (2% 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Self-Pay International | $3 | 3% |
| UnitedHealthcare | $3 - $134 | 3% |
| Hispanic Physician IPA | $3 - $4 | 3% |
| Embassy - All Others | $3 | 3% |
| Blue Cross Blue Shield | $3 - $49 | 3% |
| Embassy - Kuwait | $3 | 3% |
| Interlink Health Services | $3 | 3% |
| Associated Hispanic Physicians IPA | $3 - $4 | 3% |
| Prospect Medical Group | $3 | 3% |
| Alhambra Hospital Medical Center | $4 | 4% |
| Regent Medical Group | $4 | 4% |
| El Proyecto Del Barrio | $4 | 4% |
| Community Family Care IPA | $4 | 4% |
| Karing Physicians Medical Group | $4 | 4% |
| Exceptional Care Medical Group | $4 | 4% |
| Medi-Cal | $4 | 4% |
| Caloptima | $4 | 4% |
| Serra Community Med Clinic | $4 | 4% |
| Molina | $4 | 4% |
| Intl - Aixin Life Insurance Co | $4 | 4% |
| Valley Presbyterian Hospital | $4 | 4% |
| Cal Care IPA | $4 | 4% |
| Centinela Valley IPA | $4 | 4% |
| Culinary Health Fund | $4 | 4% |
| Medicaid / KanCare | $4 | 4% |
| Avalon IPA | $4 | 4% |
| Superior Choice Medical Group | $4 | 4% |
| Health Care La IPA | $4 | 4% |
| Hollywood Presbyterian Medical Center | $4 | 4% |
| Preferred IPA | $4 | 4% |
| Intl - Quality Health Management | $4 | 4% |
| Dignity Health | $4 | 4% |
| Health Net | $4 - $5 | 4% |
| Allied Pacific IPA | $4 | 4% |
| Care 1St | $4 | 4% |
| Altamed | $4 | 4% |
| Angeles IPA | $4 | 4% |
| Asian Community Medical Group | $4 | 4% |
| Adventist Health Physicians | $4 - $242 | 4% |
| Noble Community Medical Associates | $4 | 4% |
| Southland San Gabriel Valley Medical Group | $4 | 4% |
| St Francis Medical Center | $4 | 4% |
| Kern Family Health Plan | $4 | 4% |
| Watts Healthcare Mmc | $4 | 4% |
| White Memorial Medical Center | $4 | 4% |
| San Judas Med Grp | $4 | 4% |
| Blue Shield | $4 | 4% |
| Seaside Health Plan | $4 | 4% |
| Accountable Health | $4 | 4% |
| Pacific Alliance Medical Center | $4 | 4% |
| Premier Physicians Ntwk | $4 | 4% |
| Family Health Alliance Med Grp | $4 | 4% |
| Cigna | $4 | 4% |
| Medicare (plans) | $4 - $132 | 4% |
| Beverly Hospital | $4 | 4% |
| Imperial Health Holdings Medical Group | $4 | 4% |
| Gold Coast Health Plan | $4 | 4% |
| Family Care Specialists | $4 | 4% |
| Mabuhay Medical Group | $4 | 4% |
| Southern Atlantic Medical Group Mmc | $4 - $6 | 4% |
| Inland Empire Health Plan | $4 | 4% |
| California Pacific Physicians Medical Group | $4 | 4% |
| Point Comfort Underwriters | $4 | 4% |
| Applecare Medical Group | $4 | 4% |
| Community Care IPA Mmc | $4 | 4% |
| Primary Care and Pediatric IPA | $4 | 4% |
| Bella Vista Med Grp | $4 | 4% |
| Cencal Health | $4 | 4% |
| Heritage Provider Network | $4 | 4% |
| Healthy New Life Medical Corp | $4 | 4% |
| Choc Health Alliance | $4 | 4% |
| Employee Health Systems Med Grp | $4 | 4% |
| Souther California Hosp System - Mmc | $4 | 4% |
| La Care | $4 | 4% |
| Serendib Healthways Mmc | $4 | 4% |
| Global Care Medical Group | $4 | 4% |
| Los Angeles Medical Center IPA | $4 | 4% |
| Crown City Medical Group | $4 | 4% |
| Intl - Global Excel Management | $8 | 7% |
| Champus | $130 | 122% |