CMS Price Transparency Data

X-ray, pelvis

Facility: Copper Queen Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $95
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Copper Queen Community Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.89x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $271 (254%)
Insurance Median: $95 (89%)
Cash: $271 (254% of Medicare)
Ins. Median: $95 (89% 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
Allwell $54 51%
Amerigroup $54 51%
Azch Complete $54 51%
Banner Uc Health $54 51%
Humana $54 51%
Triwest $54 51%
UnitedHealthcare $61 - $198 57%
Copperpoint $84 79%
Bisbee Police $88 82%
Aetna $95 - $305 89%
Health Net Of Az $95 - $203 89%
Apipa $127 119%
Cigna $220 206%
Blue Cross Blue Shield $231 216%
Self Pay $271 254%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Cole Avenue, Bisbee, AZ 85603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals