CMS Price Transparency Data

X-ray, pelvis

Facility: Loma Linda University Children's Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $203
Cash Discount Price: $291
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Loma Linda University Children's Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $291. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.90x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$291

Average discount available for prompt cash payment at this facility.

Insurance Median

$203

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: $291 (272%)

Insurance Median: $203 (190%)

Cash: $291 (272% of Medicare)

Ins. Median: $203 (190% 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)	$36 - $135	34%
Kaiser Foundation Hospitals	$41 - $431	38%
UnitedHealthcare	$115	108%
Adventist Health	$129	121%
Alpha Care Medical Group	$135 - $203	126%
Dignity Health	$135 - $203	126%
Epic Health Plan	$135 - $258	126%
Upland Medical Group	$135	126%
Vantage Medical Group	$135 - $203	126%
Blue Cross Blue Shield	$147	138%
Lluh Dept Of Risk Management	$155	145%
Molina Healthcare Of Ca	$170 - $181	159%
Heritage Provider Network	$222	208%
Blue Shield Of California	$261 - $395	244%
Global Benefits Group	$388	363%
Temecula Valley Physicians Medical Group	$388	363%
Trivalley Medical Group	$388	363%
Cigna	$413 - $478	387%
Networks By Design	$420	393%
Aetna	$424	397%
Multiplan	$517	484%
Galaxy Health	$549	514%
Prime Health Services	$549	514%

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 $291.
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 Children's Hospital 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.