CMS Price Transparency Data

X-ray, pelvis

Facility: Encino Hospital Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $134
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Encino Hospital Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 16237 Ventura Blvd, Encino, CA.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $133 (125%)
Insurance Median: $134 (125%)
Cash: $133 (125% of Medicare)
Ins. Median: $134 (125% 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
Aids Healthcare Foundation $23 - $136 22%
Blue Shield Of Promise $23 - $134 22%
Health Net Of Ca $23 - $195 22%
La Care Health Plan $23 - $134 22%
Molina $23 - $134 22%
Traditional Medi-Cal $23 22%
Blue Cross Blue Shield $33 31%
Alignment $134 125%
Blue Shield Of Ca, Va $134 125%
Managed Health Network $134 125%
Medicare (plans) $134 125%
Renal Payer Solutions $134 125%
Tricare $134 125%
Usa Senior Care Network $134 125%
Brand New Day $135 - $201 126%
Imperial Health Plan Ca $142 133%
Corvel $167 156%
Zelis Healthcare $167 156%
Aetna $171 160%
Americas Choice Provider Network $171 160%
Multiplan $171 160%
Prime Health Services, Inc. $171 160%
Three Rivers $171 160%
Healthsmart Preferred Care Network $173 162%
Provider Select $174 163%
Provider Network Of America $176 165%
Workers Comp $176 165%
Employer Direct Healthcare $187 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16237 Ventura Blvd, Encino, CA 91436
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals