X-ray, pelvis
Facility: Physicians Care Surgical Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $3,409
- Cash Discount Price: $2,727
- vs. Medicare Baseline: 31.92x 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 3192% of the Medicare baseline (a markup of 3092%). 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 |
|---|---|---|
| Meritain Health | $104 | 97% |
| Allied Benefit Systems | $104 | 97% |
| Aetna | $104 - $3,818 | 97% |
| Ag Administrators Inc | $104 | 97% |
| Lucent Health | $104 | 97% |
| Ag Administrators | $104 | 97% |
| Healthez | $104 | 97% |
| Allied Benefits Systems | $104 | 97% |
| Coventry | $104 | 97% |
| Premier Care Network | $104 | 97% |
| Geha | $104 | 97% |
| Trustmark | $104 | 97% |
| Continental Benefits | $104 | 97% |
| Marpai Health | $104 | 97% |
| Connecticare | $124 | 116% |
| Blue Cross Blue Shield | $194 - $3,681 | 182% |
| Highmark | $194 | 182% |
| Medicare (plans) | $3,409 | 3192% |
| Keystone 65 HMO | $3,409 | 3192% |
| Shenandoah Life | $3,409 | 3192% |
| Pcsh Aarp | $3,409 | 3192% |
| Gpm Health and Life Insurance Mc Supplement | $3,409 | 3192% |
| Cigna | $3,409 | 3192% |
| Devon Health Services | $3,409 | 3192% |
| Unified Health Services | $3,409 | 3192% |
| Aarp | $3,409 | 3192% |
| Ibc Security 65 | $3,409 | 3192% |
| Humana | $3,409 | 3192% |
| UnitedHealthcare | $3,409 - $7,232 | 3192% |
| Tricare | $3,409 | 3192% |
| Personal Choice 65 | $3,409 | 3192% |
| Vibra Health Plan | $3,409 | 3192% |
| Keystone HMO | $3,681 | 3446% |
| Carefirst Administrators | $3,681 | 3446% |
| Empire Plan | $3,681 | 3446% |
| Pcsh Ibc | $3,681 | 3446% |
| Amerihealth Administrators | $3,681 | 3446% |
| Ibc Local | $3,681 | 3446% |
| Independence Bc | $3,681 | 3446% |
| Horizon of New Jersey | $3,681 | 3446% |
| Ibc - Local | $3,681 | 3446% |
| Ibc | $3,681 | 3446% |
| Amerihealth New Jersey HMO | $3,681 | 3446% |
| Personal Choice | $3,681 | 3446% |
| Independence Administrators | $3,681 | 3446% |
| Keystone Healthplan East | $3,681 | 3446% |
| Ibc 2021 | $3,681 | 3446% |
| Independence Federal | $3,681 | 3446% |
| Regence Blue Shield | $3,681 | 3446% |
| Keystone Direct POS | $3,681 | 3446% |
| Oxford Life Insurance Company | $7,232 | 6771% |
| Allsavers | $7,232 | 6771% |
| Golden Rule Op | $7,232 | 6771% |
| Surest | $7,232 | 6771% |
| Oxford Health Plan | $7,232 | 6771% |