CMS Price Transparency Data

X-ray, pelvis

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $386
Cash Discount Price: $1,931
vs. Medicare Baseline: 3.61x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at The Medical Center of Aurora & South Hospital is $386. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,931. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.61x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.

Cash / Self-Pay

$1,931

Average discount available for prompt cash payment at this facility.

Insurance Median

$386

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: $1,931 (1808%)

Insurance Median: $386 (361%)

Cash: $1,931 (1808% of Medicare)

Ins. Median: $386 (361% 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 361% of the Medicare baseline (a markup of 261%). 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
Blue Cross Blue Shield	$21 - $1,429	20%
Pinnacol Workers Comp	$169	158%
Multiplan	$176 - $1,737	165%
United	$185 - $869	173%
Rocky Mountain Health Plan	$245	229%
Cigna	$249 - $1,236	233%
Vail Health	$293	274%
Kaiser	$386 - $685	361%
Bright Health	$579	542%
Colorado Program For Children With Special Needs	$811	759%
Aetna	$1,019	954%
Western Plains Community Health	$1,255	1175%
Northcare	$1,351	1265%
Physician Health Partners	$1,351	1265%
Medical Development International	$1,544	1446%
Prime Health	$1,737	1626%

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 $1,931.
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 The Medical Center of Aurora & South 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.