CMS Price Transparency Data

X-ray, pelvis

Facility: Mercy Hospital of Folsom

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$161

about 1.5× the $107 Medicare rate · typically $67–$239

modeled estimate · not a bill or quote

What this hospital charges insurers

$142

Below the fair price — a good deal

about $19 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $161 This hospital $142 Cash price $457 Hospital's list price $1,175

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $142

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, pelvis is about $161 (about 1.5× the $107 Medicare rate). Mercy Hospital of Folsom charges insurers about $142, or about $457 in cash — below the fair price — a good deal. Located in Folsom, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$31 - $245	29%
Blue Cross Blue Shieldmajor	$59 - $341	55%
Aetnamajor	$56 - $140	52%
Cignamajor	$440 - $587	412%
Humanamajor	$140	131%
Kaiser Permanentemajor	$140 - $928	131%
Health Net	$73	68%
Molina	$58	54%
+ 5 smaller / regional plans	$22 - $940

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 457), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72170.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital of Folsom is in-network.
Ask your insurer whether prior approval is required for CPT code 72170.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital of Folsom

Compare: X-ray, pelvis at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.