CMS Price Transparency Data

X-ray, pelvis

Facility: Oro Valley Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $112
  • Cash Discount Price: $443
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Oro Valley Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $443. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.05x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$443

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: $443 (415%)
Insurance Median: $112 (105%)
Cash: $443 (415% 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 - $255 23%
Blue Cross Blue Shield $62 - $205 58%
Medicaid / KanCare $78 - $84 73%
Magellan $82 - $805 77%
Caremore Health Plan $99 - $110 93%
Cigna $99 - $385 93%
Humana $99 - $110 93%
Medicare (plans) $99 - $110 93%
Pascua Yaqui Tribe $99 - $110 93%
Scan Health $99 - $110 93%
UnitedHealthcare $99 - $240 93%
Department Of Veterans Affairs $100 - $112 94%
Node Non Par Hospice Agree $100 - $112 94%
Node Triwest $100 - $112 94%
Node Va $100 - $112 94%
Tricare $100 - $112 94%
Clover Health Mcr Adv $101 - $113 95%
Fresenius Health $101 - $112 95%
Node Devoted Health Mcr Adv $102 - $113 95%
Node Banner Mcr Adv $104 - $115 97%
Veterans Eval Services $104 97%
Wellcare Mcr Adv $104 - $115 97%
Node Us Dept Of Labor $126 - $139 118%
Ambetter / Centene $142 - $157 133%
Node Health Choice Exchange $150 - $166 140%
Node Fusion Network $181 - $201 169%
Node J Allen Inmate Health Svcs $191 - $212 179%
Health Net $211 - $234 198%
Seven Corners $231 - $257 216%
Self Pay $322 - $564 301%
Beacon Health Options $671 628%
Mtc $671 628%
First Health Coventry $705 660%
Coventry Work Comp Al $805 754%
Multiplan $1,114 1043%
Prime Health $1,141 1068%
Three Rivers $1,141 1068%
Healthsmart $1,208 1131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals