CMS Price Transparency Data

X-ray, pelvis

Facility: Loma Linda University Medical Center-Murrieta

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $149
Cash Discount Price: $283
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Loma Linda University Medical Center-Murrieta is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $283. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.40x the Medicare baseline. Located in 28062 Baxter Road, Murrieta, CA.

Cash / Self-Pay

$283

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

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: $283 (265%)

Insurance Median: $149 (140%)

Cash: $283 (265% of Medicare)

Ins. Median: $149 (140% 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.

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
Inland Empire Health Plan (Iehp)	$35 - $135	33%
UnitedHealthcare	$72	67%
Blue Shield Of California	$87 - $108	81%
Kaiser Foundation Hospitals	$114 - $300	107%
Adventist Health	$126	118%
Alpha Care Medical Group	$135 - $203	126%
Dignity Health	$135 - $203	126%
Epic Health Plan	$135 - $408	126%
Trivalley Medical Group	$135	126%
Vantage Medical Group	$135 - $203	126%
Blue Cross Blue Shield	$136	127%
Lluh Dept Of Risk Management	$157	147%
Molina Healthcare Of Ca	$170	159%
Aetna	$336 - $431	315%
Heritage Provider Network	$389 - $425	364%
Cigna	$408	382%
Multiplan	$471	441%

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 $283.
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 Loma Linda University Medical Center-Murrieta 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.