CMS Price Transparency Data

X-ray, pelvis

Facility: Flowers Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $101
  • Cash Discount Price: $308
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Flowers Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$308

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $308 (288%)
Insurance Median: $101 (95%)
Cash: $308 (288% of Medicare)
Ins. Median: $101 (95% 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
Alabama Rehab $20 19%
Medicaid / KanCare $20 - $35 19%
Blue Cross Blue Shield $84 - $99 79%
Tricare $86 - $96 81%
Humana $89 - $99 83%
Medicare (plans) $89 - $99 83%
Node Viva Mcr Adv $89 - $99 83%
UnitedHealthcare $89 - $224 83%
Select Health $90 - $100 84%
Care Improvement Plus $91 - $101 85%
Cigna $91 - $193 85%
Compassionate Hands $91 - $101 85%
Covenant Hospice $91 - $101 85%
Dayspring Hospice $91 - $101 85%
Node Champva $91 - $101 85%
Node Devoted Health Mcr Adv $91 - $101 85%
Node Hospice Non Par $91 - $101 85%
Node Va $91 - $101 85%
Southern Care Hospice $91 - $101 85%
Vistacare Hospice $91 - $101 85%
Wiregrass Hospice $91 - $101 85%
Aetna $92 - $1,000 86%
Node Clover Health Mcr Adv $92 - $102 86%
Node Wellcare Mcr Adv $92 - $103 86%
Veterans Eval Services $92 86%
Eon Health Care $94 - $104 88%
Prime Health $95 - $967 89%
Node Us Dept Of Labor $113 - $126 106%
Ambetter / Centene $136 - $151 127%
Occunet $159 - $176 149%
Self Pay $206 - $411 193%
S & S Healthcare $342 320%
Choicecare Commercial $480 449%
American Employee Alliance $548 513%
Coventry Healthcare $685 - $1,046 641%
Viva Health $822 770%
Multiplan $890 - $1,096 833%
Standard Textile $959 898%
Alamed Wc $967 905%
Health Choice $1,000 936%
Equian $1,028 - $1,080 962%
Qhp $1,028 962%
Novanet $1,096 1026%
Alabama Work Comp $1,137 1065%
Ccn/Mednet Ppo $1,164 1090%
Corvel $1,164 1090%
Industry Buying Group $1,164 1090%
Galaxy Health $1,233 1154%
Health Payors Org $1,233 1154%
National Provider Net $1,233 1154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals