CMS Price Transparency Data

X-ray, pelvis

Facility: Northwest Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $112
  • Cash Discount Price: $403
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Northwest Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $403. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.05x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$403

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $403 (377%)
Insurance Median: $112 (105%)
Cash: $403 (377% of Medicare)
Ins. Median: $112 (105% 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
Aetna $25 - $604 23%
Blue Cross Blue Shield $62 - $201 58%
Medicaid / KanCare $78 - $84 73%
Magellan $82 - $115 77%
Cigna $99 - $369 93%
Humana $99 - $110 93%
Medicare (plans) $99 - $110 93%
Node Caremore Mcr Adv $99 - $110 93%
Pascua Yaqui Tribe $99 - $110 93%
Scan Health Plan $99 - $110 93%
UnitedHealthcare $99 - $671 93%
Department Of Veterans Affairs $100 - $112 94%
Node Non Par Hospice Agree $100 - $112 94%
Node Va $100 - $112 94%
Tricare $100 - $112 94%
Triwest $100 - $112 94%
Fresenius Health $101 - $112 95%
Node Clover Health Mcr Adv $101 - $113 95%
Node Devoted Health Mcr Adv $102 - $113 95%
Node Banner Mcr Adv $104 - $115 97%
Veterans Eval Services $104 97%
Wellcare $104 - $115 97%
Node Us Dept Of Labor $126 - $139 118%
Ambetter / Centene $142 - $157 133%
Node Health Choice Health Exchange $148 - $164 139%
Health Net $159 - $177 149%
Node Fusion Network $181 - $201 169%
Node J Allen Inmate Health Svcs $191 - $212 179%
Seven Corners $231 - $257 216%
Self Pay $322 - $483 301%
First Health Coventry $705 660%
Coventry Medical Center $805 754%
Multiplan $1,114 1043%
Prime Health $1,141 1068%
Healthsmart $1,208 1131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals