CMS Price Transparency Data

X-ray, pelvis

Facility: Gunnison Valley Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $238
Cash Discount Price: $302
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Gunnison Valley Hospital is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $302. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.23x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$302

Average discount available for prompt cash payment at this facility.

Insurance Median

$238

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: $302 (283%)

Insurance Median: $238 (223%)

Cash: $302 (283% of Medicare)

Ins. Median: $238 (223% 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 223% of the Medicare baseline (a markup of 123%). 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
Cigna	$7 - $348	7%
Medicare (plans)	$8 - $174	7%
Aetna	$12 - $341	11%
Apostrophe-All Plans	$14 - $320	13%
Medicaid / KanCare	$26 - $76	24%
Gunnison County Sheriff Op & Profee Only	$31 - $195	29%
Ebms Hdhp	$36 - $228	34%
Tetwp Op & Profee Only-All Plans	$36 - $228	34%
U Of Co Transplant-All Plans	$36 - $228	34%
Ebms Ppo Plan-All Other Plans	$42 - $266	39%
Gunnison County Employees-All Other Plans	$48 - $304	45%
Scottish Rites-All Plans	$48 - $304	45%
Elap Employers-All Plans	$51 - $323	48%
Blue Cross Blue Shield	$52 - $333	49%
Multiplan-All Plans	$54 - $342	51%
Cofinity-All Plans	$57 - $365	53%
Rocky Mountain Health-All Plans	$57 - $361	53%
UnitedHealthcare	$57 - $361	53%
Gunnison County Coroner Op Only	$182	170%

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 $302.
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 Gunnison Valley 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.