CMS Price Transparency Data

X-ray, pelvis

Facility: Page Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $79
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Page Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.74x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $130 (122%)
Insurance Median: $79 (74%)
Cash: $130 (122% of Medicare)
Ins. Median: $79 (74% 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
Humana $8 - $132 7%
Plotkin Health $10 - $175 9%
Aetna $11 - $352 10%
Arizona Physicians Ipa $12 - $206 11%
Banner Health $12 - $206 11%
Banner University Health Plan $12 - $206 11%
Blue Cross Blue Shield $12 - $306 11%
Care 1St $12 - $206 11%
Cigna $12 - $357 11%
Gila River Health Care Corporation $12 - $206 11%
Health Choice Arizona, Inc. $12 - $250 11%
Health Net $12 - $304 11%
Kaiser Foundation Health Plan $12 - $206 11%
Mercy Care $12 - $206 11%
Triwest Healthcare Alliance Corp - Va Ccn $12 - $206 11%
Upmc Health Plan $12 - $206 11%
Wellpoint $12 - $206 11%
Arizona Priority Care $13 - $226 12%
Carelon $13 - $216 12%
Devoted Health Services $13 - $226 12%
Gold Kidney Health Plan $13 - $226 12%
Quiktrip Corporation $16 - $272 15%
Coconino County Sheriff'S Department $17 - $283 16%
Oscar Health Plan $20 - $339 19%
Provider Network Of America $21 - $349 20%
Arizona Medical Network $22 - $369 21%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $22 - $369 21%
UnitedHealthcare $206 - $213 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 North Navajo Drive, Page, AZ 86040
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals