CMS Price Transparency Data

X-ray, pelvis

Facility: PAM Specialty Hospital of Denver

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $2,856
Cash Discount Price: $3,570
vs. Medicare Baseline: 26.74x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at PAM Specialty Hospital of Denver is $2,856. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,570. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.74x the Medicare baseline. Located in 1690 N Meade St, Denver, CO.

Cash / Self-Pay

$3,570

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,856

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: $3,570 (3342%)

Insurance Median: $2,856 (2674%)

Cash: $3,570 (3342% of Medicare)

Ins. Median: $2,856 (2674% 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 2674% of the Medicare baseline (a markup of 2574%). 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
Galaxy Health Network	$2,321	2173%
America'S Choice	$2,499	2340%
Provider Network Of America	$2,678	2507%
Quik Trip	$2,678	2507%
Usa Managed Care Organization	$2,678	2507%
Velocity Provider Ppo Network	$2,678	2507%
Evolutions Healthcare System	$2,856	2674%
Fara	$2,856	2674%
Multiplan	$2,856	2674%
Integrated Health Plan	$2,928	2741%
First Choice Of The Midwest	$3,035	2841%
Fortified Provider Network	$3,035	2841%
Prime Health Services	$3,035	2841%
Three Rivers Provider Network	$3,035	2841%

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 $3,570.
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 PAM Specialty Hospital of Denver 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.