CMS Price Transparency Data

X-ray, pelvis

Facility: Alhambra Hospital Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $164
  • Cash Discount Price: $686
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Alhambra Hospital Medical Center is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $686. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.54x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$686

Average discount available for prompt cash payment at this facility.

Insurance Median
$164

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: $686 (642%)
Insurance Median: $164 (154%)
Cash: $686 (642% of Medicare)
Ins. Median: $164 (154% 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
Ahmc-Reciprocity-Medi-Cal/Healthy Families $22 21%
Citrus Valley Health Partners $22 21%
La Care Pasc Seiu Misc $22 21%
La Care Medi-Cal Hmo $25 23%
Aetna $26 - $134 24%
Allied Physicians Of Ca Medi-Cal $31 29%
Health Net Medi-Cal $31 29%
Kaiser Medi-Cal $31 29%
Medi-Cal $31 29%
Miscellaneous Medi-Cal Hmo $31 29%
Blue Cross Blue Shield $36 - $234 34%
Stewart Mg Senior Hmo $81 76%
Blue Shield 65 Plus $127 119%
Apa Aco $130 122%
Altamed Senior Services $132 124%
Brand New Day Sr $132 124%
Central Health Plan Of Ca Senior Hmo $132 124%
Health Net Senior Hmo $132 124%
Medicare (plans) $132 - $412 124%
Humana $134 125%
La Care Exchange $134 125%
Miscellaneous Senior Hmo $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $178 125%
Wellcare Senior Hmo $134 125%
Alignment Senior Hmo $139 130%
Health Net Salud Con Hmo $164 154%
Molina Exchange $165 154%
Health Net Exchange $166 155%
Miscellaneous Work Comp Hmo $179 168%
Blue Shield Value Network Exchange $195 183%
Ahmc Health $198 185%
Allied Physicians Of Ca Commercial $202 189%
Ahmc-Reciprocity-Comm/Senior $206 193%
Blue Shield Hmo/Ppo $217 203%
Allied Physicians Comm/Sr $240 225%
Allied Physicians Medi-Cal $240 225%
Wellcare Allied Senior Hmo $240 225%
Cigna $241 - $309 226%
Molina Health Plan $268 251%
Self Pay $275 257%
Health Net Ppo/Epo/Pos $280 262%
Health Net Exchange Enhanced Ppo $291 272%
Kaiser Commercial $426 399%
Scan Senior Plan $446 418%
Multiplan $549 514%
Miscellaneous Commercial Ppo/Hmo $686 642%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals