CMS Price Transparency Data

X-ray, pelvis

Facility: Montrose Regional Health

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $143
Cash Discount Price: $200
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Montrose Regional Health is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.34x the Medicare baseline. Located in 800 S 3Rd St, Montrose, CO.

Cash / Self-Pay

$200

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $200 (187%)

Insurance Median: $143 (134%)

Cash: $200 (187% of Medicare)

Ins. Median: $143 (134% 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
Blue Cross Blue Shield	$8 - $366	7%
Humana	$8 - $370	7%
Medicare (plans)	$8 - $118	7%
UnitedHealthcare	$8 - $370	7%
Montrose Community Healthplan-All Plans	$12 - $331	11%
United Rocky Mountain Chp-All Other Plans	$14 - $167	13%
United Rocky Mountain Private Plan	$14 - $360	13%
United Rocky Mountain Self Insured	$14 - $370	13%
Sloans Lake Managed Care-All Plans	$18 - $371	17%
Three Rivers-All Plans	$27 - $370	25%
Western Healthcare Alliance-All Plans	$27 - $350	25%
Cigna	$28 - $370	26%
Multiplan-All Plans	$28 - $370	26%
Uchpa - All Plans	$28 - $370	26%
United Rocky Mountain Mcaid	$30 - $267	28%

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 $200.
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 Montrose Regional Health 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.