CMS Price Transparency Data

X-ray, pelvis

Facility: San Luis Valley Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $250
Cash Discount Price: $153
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at San Luis Valley Regional Medical Center is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.34x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$153

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

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: $153 (143%)

Insurance Median: $250 (234%)

Cash: $153 (143% of Medicare)

Ins. Median: $250 (234% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 234% of the Medicare baseline (a markup of 134%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Rocky Mountain	$26	24%
Uc Health Plan Pb	$52	49%
Aetna	$103 - $321	96%
Multiplan Physician	$103	96%
Tricare	$107 - $110	100%
Kaiser	$110 - $349	103%
Triwest	$110	103%
Cigna	$123 - $349	115%
Rocky Mountain Pb	$123	115%
Uchpa Phs - Pb	$123	115%
Presbyterian Health Plan	$248	232%
Co Choice Healthplan - Lutheran Hosp Assoc	$250	234%
Hmo Health Plans	$257	241%
UnitedHealthcare	$322 - $338	301%
Blue Cross Blue Shield	$323	302%
Galaxy Health Network	$323	302%
Multiplan	$323 - $330	302%
Humana	$330	309%
Pinnacol Assurance	$341	319%
Colorado Access	$347	325%
Foundation Health Corp	$349	327%
Uc Health Plan	$349	327%
Uchpa Phs	$349	327%

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 $153.
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 San Luis Valley Regional Medical Center 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.