CMS Price Transparency Data

X-ray, pelvis

Facility: Uch-Memorial Health System

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $191
Cash Discount Price: $282
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Uch-Memorial Health System is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.79x the Medicare baseline. Located in 1400 E Boulder St, Colorado Springs, CO.

Cash / Self-Pay

$282

Average discount available for prompt cash payment at this facility.

Insurance Median

$191

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: $282 (264%)

Insurance Median: $191 (179%)

Cash: $282 (264% of Medicare)

Ins. Median: $191 (179% 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	$21 - $371	20%
Select Health	$65 - $107	61%
Aetna	$107 - $321	100%
Cigna	$107 - $310	100%
Cms	$107	100%
Devoted Health	$107	100%
Humana	$107	100%
Kaiser	$107 - $212	100%
UnitedHealthcare	$107 - $408	100%
Kaiser Public Option	$145	136%
Kaiser Kp Select	$191	179%
Simplified Benefits Administration	$201 - $245	188%
Denver Health Medical Plan	$314	294%
Rocky Mountain Health Plan	$339	317%
First Health	$370	346%
Multiplan	$445	417%
Phcs	$445	417%

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 $282.
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 Uch-Memorial Health System 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.