X-ray, pelvis
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $226
- Cash Discount Price: $183
- vs. Medicare Baseline: 2.12x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 212% of the Medicare baseline (a markup of 112%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $23 - $120 | 22% |
| Nippon Life Ins | $29 | 27% |
| Gravie Admin Services | $29 | 27% |
| Hap | $29 | 27% |
| Allied Benefit Systems | $29 | 27% |
| Luminare Health | $29 | 27% |
| Meritain | $29 | 27% |
| 1199 National Benefit Fund | $29 | 27% |
| Webtpa | $29 | 27% |
| Cigna | $77 - $123 | 72% |
| Health Partners | $77 | 72% |
| Allegiance | $77 | 72% |
| Magnacare | $77 | 72% |
| Connecticut Dept of Correction | $100 | 94% |
| Blue Cross Blue Shield | $120 - $332 | 112% |
| Medicare (plans) | $120 - $125 | 112% |
| UnitedHealthcare | $120 - $179 | 112% |
| Cca Senior Care Options | $122 | 114% |
| Health New England | $176 | 165% |
| Harvard Pilgrim Healthcare | $179 | 168% |
| Geha | $179 | 168% |
| Mvp | $226 | 212% |
| Lifetime Benefit Solutions | $226 | 212% |
| Medi Share | $226 | 212% |
| Trinity Health Share | $226 | 212% |
| Ghc Scw | $226 | 212% |
| Christian Care Ministry | $226 | 212% |
| Paramount HMO | $226 | 212% |
| Pai | $226 | 212% |
| PHCS | $226 | 212% |
| International Benefit Administrators | $226 | 212% |
| Dean Health | $226 | 212% |
| Multiplan | $226 | 212% |
| Manhattan Life | $226 | 212% |
| Pan-American Life | $226 | 212% |
| Asrm - Reliance Standard Life Insurance | $226 | 212% |
| Family Life Insurance Company | $226 | 212% |
| Allied National Global Care | $226 | 212% |
| Claimdoc | $257 | 241% |
| Innovative Health Plan II | $257 | 241% |
| Diversified Administrators | $257 | 241% |
| Prime Health Services | $266 | 249% |
| Connecticare | $271 - $298 | 254% |
| Health Smart | $282 | 264% |
| Blue Shield - Ca | $332 | 311% |
| Wc Domestic | $332 | 311% |
| Blue Shield - PA (Highmark) | $332 | 311% |
| Blue Care Network | $332 | 311% |
| Pre-Employment | $332 | 311% |
| Blue Distinction Transplant | $332 | 311% |
| Blue Shield - Ny Highmark Western | $332 | 311% |
| Health Choices | $332 | 311% |
| Blue Shield - Ny Highmark Northeastern | $332 | 311% |
| Blue Shield - Wa (Regence) | $332 | 311% |
| Unicare | $332 | 311% |
| Kaiser Domestic | $332 | 311% |
| Bcn Domestic | $332 | 311% |
| Blue Shield - Id (Regence) | $332 | 311% |
| Blue Benefit Administrators of Massachusetts | $332 | 311% |