CMS Price Transparency Data

X-ray, pelvis

Facility: East Morgan County Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $61
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at East Morgan County Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.57x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $87 (81%)
Insurance Median: $61 (57%)
Cash: $87 (81% of Medicare)
Ins. Median: $61 (57% 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
Aetna $8 - $230 7%
Banner Health $8 - $106 7%
Blue Cross Blue Shield $8 - $203 7%
Clear Spring Health $8 - $106 7%
Healthspring Life & Health Insurance Company, Inc. $8 - $106 7%
Longevity $8 - $109 7%
Medica $8 - $206 7%
Medicare (plans) $8 - $106 7%
Pinnacol Assurance Workers Comp $8 - $104 7%
Triwest Healthcare Alliance Corp - Va Ccn $8 - $106 7%
UnitedHealthcare $8 - $230 7%
Devoted Health Services $9 - $117 8%
Humana $9 - $113 8%
Assist Health Group $10 - $127 9%
Denver Health Medical Plan $15 - $198 14%
Apostrophe, Inc. $17 - $222 16%
First Choice Health Network $17 - $222 16%
Hue Health, Inc $18 - $235 17%
Multiplan $18 - $240 17%
Rocky Mountain Health Plans $18 - $235 17%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals