CMS Price Transparency Data

X-ray, pelvis

Facility: Adventist Health Reedley

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $31
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Adventist Health Reedley is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.29x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $63 (59%)
Insurance Median: $31 (29%)
Cash: $63 (59% of Medicare)
Ins. Median: $31 (29% 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
Healthnet Medi-Cal $5 - $94 5%
Ah Employee Health Plan - All Plans $9 - $242 8%
Blue Shield Mcare $9 - $134 8%
Fhcn Pace Mcr Adv-All Plans $9 - $134 8%
Lasalle Med Assoc Profee Only - All Plans $9 8%
Tricare $9 - $134 8%
UnitedHealthcare $9 - $264 8%
Upn Mcr Adv Profee Only $9 8%
Cigna $10 - $408 9%
Community Care Ipa Mcal-All Plans $10 - $40 9%
Blue Shield Epn - All Other Plans $12 - $277 11%
Healthnet- All Other Plans $12 - $273 11%
Kaiser - All Other Plans $12 - $314 11%
Kaiser Mcr Adv $12 - $134 11%
Blue Shield Non Epn $13 - $321 12%
Western Growers/Pinnacle- All Plans $13 - $288 12%
Bc Mcal $15 - $22 14%
Blue Cross Blue Shield $15 - $191 14%
Aetna $16 - $222 15%
Cal Viva Hlth Mcal - All Plans $22 - $31 21%
Central Ca Alliance Mcal Profee Only $22 21%
Dignity Mcal Op/Profee Only-All Other Plans $22 - $34 21%
Medi-Cal $22 - $31 21%
Upn Mcal Profee Only-All Other Plans $22 21%
Physicians Med Group Op/Profee Only- All Plans $26 - $502 24%
Kern Health Systems Mcal-All Plans $27 - $31 25%
Central Ca Alliance Ccs Profee Only $32 30%
Central Ca Alliance Comm Profee Only - All Other P $32 30%
Central Ca Alliance Chdp Profee Only $33 31%
Dignity Mcr Adv Op/Profee Only $134 125%
Healthnet- Mcr Adv $134 125%
Phs Prime Health Srvcs $134 125%
Bright Health Mcr Adv - All Plans $211 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals