CMS Price Transparency Data

X-ray, pelvis

Facility: Adventist Health Simi Valley

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $134
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Adventist Health Simi Valley is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$69

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: $69 (65%)
Insurance Median: $134 (125%)
Cash: $69 (65% 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
Hpn Senior Hmo $15 - $345 14%
UnitedHealthcare $15 - $344 14%
Vchcp - All Plans $15 - $331 14%
Western Growers - All Plans $16 - $348 15%
Blue Shield - All Other Plans $17 - $380 16%
Kaiser - All Plans $18 - $414 17%
Hpn - All Other Plans $19 - $416 18%
Aetna $20 - $455 19%
Scan Mcr Adv - All Plans $22 - $497 21%
First Health - All Plans $24 - $538 22%
Phcs Ppo - All Plans $24 - $538 22%
Beech Street Ppo - All Plans $28 - $621 26%
Choicecare Ppo - All Plans $28 - $621 26%
Health Net - All Plans $28 - $624 26%
Corvel Corp - All Plans $30 - $662 28%
Interplan Ppo - All Plans $30 - $662 28%
Ahf - All Plans $31 - $704 29%
Hmn Ppo/Epo - All Plans $31 - $704 29%
Multiplan Ppo - All Plans $31 - $687 29%
Trpn Ppo - All Plans $31 - $704 29%
Fpn Ppo - All Plans $33 - $745 31%
Gold Coast Mcal - All Plans $37 - $38 35%
Ehn - All Plans $50 47%
Bc Exchange $121 113%
Bc Non Mcs $134 125%
Blue Shield Mcare $134 125%
Facey Medical Mdcare $134 125%
Medicare (plans) $134 125%
Tricare $134 125%
Bc Mcs - All Other Plans $161 151%
Facey Medical Hmo/Pos - All Other Plans $161 151%
Ah Employee Health Plan - All Plans $242 227%
Centivo - All Plans $303 284%
Cigna $539 505%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals