CMS Price Transparency Data

X-ray, pelvis

Facility: Sharp Chula Vista Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $352
Cash Discount Price: $454
vs. Medicare Baseline: 3.30x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Sharp Chula Vista Medical Center is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $454. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.30x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$454

Average discount available for prompt cash payment at this facility.

Insurance Median

$352

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: $454 (425%)

Insurance Median: $352 (330%)

Cash: $454 (425% of Medicare)

Ins. Median: $352 (330% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 330% of the Medicare baseline (a markup of 230%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Community Health Group	$85 - $544	80%
Health Net	$85 - $424	80%
Epic Americas	$180	169%
Medi-Cal	$180 - $593	169%
Blue Cross Blue Shield	$206 - $544	193%
Medicare (plans)	$206 - $242	193%
Aetna	$290 - $454	272%
Allianz Global Assistance	$290 - $408	272%
Blue Shield	$290 - $405	272%
Cigna	$342 - $417	320%
Indian Health Council	$342	320%
Humana	$363	340%
Kaiser	$369	345%
Interplan	$375 - $386	351%
Managed Health Network	$386 - $424	361%
Multiplan	$424	397%
Molina	$496	464%
California Health And Wellness	$544	509%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $454.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.