CMS Price Transparency Data

X-ray, pelvis

Facility: Glendale Adventist Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $134
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Glendale Adventist Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$124

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: $124 (116%)
Insurance Median: $134 (125%)
Cash: $124 (116% 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
Aetna $9 - $93 8%
Alignment Hp Mcr Adv - All Plans $9 - $976 8%
Blue Cross Blue Shield $9 - $165 8%
Blue Shield Mcr Adv $9 - $134 8%
Caremore Mcr Adv - All Plans $9 - $556 8%
Clever Care Mcr Adv - All Plans $9 - $134 8%
Healthcare Partners- All Plans $9 - $464 8%
La Care Mcr Adv- All Plans $9 - $537 8%
Molina Mcr $9 - $134 8%
Scan Mcr Adv - All Plans $9 - $634 8%
Tricare $9 - $134 8%
UnitedHealthcare $9 - $464 8%
Ah Employee Health Plan - All Plans $10 - $242 9%
Cigna $10 - $574 9%
Heritage Commercial - All Other Plans $11 - $67 10%
Heritage Sr $11 - $60 10%
Regal Medical Group Commercial - All Other Plans $11 - $161 10%
Blue Shield Epn - All Other Plans $12 - $359 11%
Dept Of State Hsp Metropolitan- All Plans $12 - $175 11%
Molina Exchange - All Other Plans $12 - $182 11%
Blue Shield Non Epn $13 - $414 12%
Centivo - All Plans $13 - $303 12%
Healthnet - All Other Plans $13 - $551 12%
Healthnet Mcr Adv $13 - $1,386 12%
Western Growers/Pinnacle - All Plans $13 - $420 12%
Bc Medi-Cal $14 - $22 13%
First Health- All Plans $21 - $566 20%
Blue Shield Medi-Cal $22 - $78 21%
Medi-Cal $22 - $31 21%
Molina Mcal $22 - $31 21%
Heritage Mcal $23 - $33 22%
Phcs- All Plans $24 - $634 22%
Healthnet Mcal $26 - $37 24%
Corvel- All Plans $30 - $781 28%
Health Mgmt Network - All Plans $31 - $830 29%
Kaiser - All Plans $31 - $830 29%
Employers Health Network - All Plans $50 47%
Regal Med Group Mcal $134 125%
Phys Assoc Op Only- All Plans $248 - $293 232%
Beech Street - All Plans $619 - $732 580%
Choicecare - All Plans $619 - $732 580%
Three Rivers - All Plans $701 - $830 656%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals