CMS Price Transparency Data

X-ray, pelvis

Facility: Gadsden Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $94
  • Cash Discount Price: $611
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Gadsden Regional Medical Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $611. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.88x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$611

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $611 (572%)
Insurance Median: $94 (88%)
Cash: $611 (572% of Medicare)
Ins. Median: $94 (88% 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

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
Medicaid / KanCare $20 19%
Tricare $82 - $91 77%
Blue Cross Blue Shield $83 - $92 78%
Humana $83 - $92 78%
Medicare (plans) $83 - $92 78%
Node Viva Mcr Adv $83 - $92 78%
Amedisys Hospice $84 - $94 79%
Gadsden Hospice $84 - $94 79%
Node Non Par Hospice Agree $84 - $94 79%
Node Select Health Mcr Adv $84 - $93 79%
Node Va $84 - $94 79%
Southern Care Hospice $84 - $94 79%
UnitedHealthcare $84 - $224 79%
Cigna $85 - $555 80%
Node Clover Health Mcr Adv $85 - $95 80%
Node Devoted Health Mcr Adv $85 - $94 80%
Aetna $86 - $2,111 81%
Node Champva $86 - $96 81%
Node Wellcare Mcr Adv $86 - $96 81%
Node Eon Mcr Adv $87 - $97 81%
Prime Health $89 - $2,944 83%
Veterans Eval Services $92 86%
Node Us Dept Of Labor $105 - $117 98%
Ambetter / Centene $127 - $141 119%
Self Pay $489 - $734 458%
Beech Street $1,525 - $2,975 1428%
American Employee Alliance $1,630 1526%
Multiplan $2,282 - $2,567 2137%
Magellan Behavioral $2,445 2289%
Viva Healthcare $2,445 2289%
First Health $2,853 - $3,291 2671%
Alamed Wc $3,056 2861%
Focus Health $3,117 2918%
Coventry Work Comp Al $3,187 2984%
Work Comp $3,464 3243%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals