CMS Price Transparency Data

X-ray, pelvis

Facility: Banner Fort Collins Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $136
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Banner Fort Collins Medical Center is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.27x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $84 (79%)
Insurance Median: $136 (127%)
Cash: $84 (79% of Medicare)
Ins. Median: $136 (127% 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.

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
Banner Health $66 62%
UnitedHealthcare $104 - $168 97%
Blue Cross Blue Shield $107 - $141 100%
Cigna $107 100%
Clear Spring Health $107 100%
Healthspring Life & Health Insurance Company, Inc. $107 100%
Medica $107 - $134 100%
Medicare (plans) $107 100%
Humana $110 103%
Longevity $110 103%
Devoted Health Services $112 105%
Hue Health, Inc $113 - $273 106%
Assist Health Group $128 120%
Rocky Mountain Health Plans $136 127%
Apostrophe, Inc. $137 128%
Decent Health $137 128%
First Choice Health Network $145 136%
Multiplan $151 141%
Aetna $153 143%
First Choice Of The Midwest $153 143%
Pinnacol Assurance Workers Comp $168 157%
Denver Health Medical Plan $191 179%
Centivo $256 240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals