CMS Price Transparency Data

X-ray, pelvis

Facility: St Francis Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $125
  • Cash Discount Price: $281
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at St Francis Hospital is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.17x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.
Cash / Self-Pay
$281

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $281 (263%)
Insurance Median: $125 (117%)
Cash: $281 (263% of Medicare)
Ins. Median: $125 (117% 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
Delaware First Health $58 54%
Pace-Trinity Health $109 102%
Saint Francis Life $109 102%
Blue Cross Blue Shield $111 - $185 104%
Cigna $112 - $268 105%
Medicare (plans) $114 - $117 107%
Blue Shield - De (Highmark) Medciare Advantage $115 108%
Highmark Health Options Dual Plan $115 108%
Aetna $118 - $281 110%
Blue Benefit Administrators Of Massachusetts $125 117%
Blue Care Network $125 117%
Blue Distinction Transplant $125 117%
Blue Shield - Ca $125 117%
Blue Shield - Id (Regence) $125 117%
Blue Shield - Ny Highmark Northeastern $125 117%
Blue Shield - Ny Highmark Western $125 117%
Blue Shield - Pa (Highmark) $125 117%
Blue Shield - Wa (Regence) $125 117%
Coventry $134 125%
Medicaid / KanCare $152 142%
Amerihealth $185 173%
Meritain $281 263%
Trustmark Small Business Benefits $281 263%
Devon Health Services $411 385%
Galaxy Health Network $411 385%
Multiplan $411 385%
Prime Health Services $411 385%
Three Rivers Provider Network $411 385%
Wc Corvel $411 385%
Geha $416 389%
UnitedHealthcare $416 389%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals