CMS Price Transparency Data

X-ray, pelvis

Facility: University of Alabama Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $556
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.21x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at University of Alabama Hospital is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.21x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$556

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%)
Insurance Median: $556 (521%)
Ins. Median: $556 (521% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 521% of the Medicare baseline (a markup of 421%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Viva $27 - $96 25%
Humana $88 - $591 82%
Birmingham Fc $95 89%
Blue Cross Blue Shield $95 89%
Cooper Green $95 89%
Davita Villagehealth $95 89%
Jefferson County Sheriff $95 89%
Triwest $95 89%
UnitedHealthcare $95 - $378 89%
Cigna $102 - $466 95%
Ambetter / Centene $131 123%
University Of Alabama $348 326%
Aetna $424 397%
Coventry $452 - $561 423%
North Alabama Managed Care $452 423%
Comp One $500 468%
Construction Claims Management $520 487%
Alamed $521 488%
Corvel $556 521%
Evolutions $556 - $626 521%
Healthcare Alliance $556 521%
Novanet $556 - $626 521%
Prime Health Services $556 - $626 521%
Select Value Care $556 521%
Starcare $556 521%
Tethys $556 521%
Multiplan $570 534%
Department Of Labor $591 553%
Geha $591 553%
Gulf Health Plans $591 553%
Heritage Summit Health $591 553%
Mississippi Physicians $591 553%
Phifer $591 553%
Preferred Health Partnership $591 553%
Southern Nuclear $591 553%
Vantage Health Plan $591 553%
Galaxy Health Network $626 586%
National Provider Network $626 586%
North Mississippi Health Link $626 586%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals