CMS Price Transparency Data

X-ray, pelvis

Facility: North Shore Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $108
  • Cash Discount Price: $1,482
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at North Shore Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,482. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.01x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$1,482

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $1,482 (1388%)
Insurance Median: $108 (101%)
Cash: $1,482 (1388% of Medicare)
Ins. Median: $108 (101% 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 $12 - $1,067 11%
Avmed Broad Network $23 22%
Dimension Health Wc $24 22%
Workers Compensation $24 22%
Healthsun Health Plans $30 - $108 28%
Imagine Health $31 29%
Self Pay/Uninsured $35 - $129 33%
Employer Direct Healthcare $36 - $105 34%
Humana $36 - $206 34%
Medicaid / KanCare $36 - $1,482 34%
UnitedHealthcare $36 - $103 34%
Oscar Health Plan Hix $40 37%
Veterans Administration Mill Bill $72 67%
Medicare (plans) $93 - $1,482 87%
Devoted Health $103 96%
Leon Health Inc $103 96%
Tricare $104 97%
Hospice Other $105 98%
Veterans Administration Vaccn $105 98%
Cigna $108 - $741 101%
Longevity Health Plan $110 103%
Florida Pace Centers $124 116%
Bright Health Management Commercial $126 118%
Centurion Prison $129 121%
Bc/Bs Myblue Hmo Hix $144 135%
Bc/Bs Of Fl Simplyblue $152 142%
Avmed Exchange $183 171%
Bc/Bs Of Fl Network Blue $190 178%
Bc/Bs Of Fl Health Options Hmo $193 181%
Ambetter / Centene $194 182%
Molina Marketplace Program Exchange $199 186%
Bc/Bs Of Fl Ppo $203 190%
Auto Insurance $209 196%
Bc/Bs Of Fl Blue Select Exchange Non Par $211 198%
Avmed Select Network $214 200%
Amerihealth Caritas Next Exchange $225 211%
Bc/Bs Of Fl Phs $768 719%
Magellan Behavioral Health $889 832%
Dimensions International $964 903%
First Health $1,008 944%
Dimension Health Ppo $1,112 1041%
Beacon Health Strategies Commercial $1,482 1388%
Commercial Non-Contracted $1,482 1388%
Self Pay - Mcd Pending 100 Percent $1,482 1388%
Single Case Agreement $1,482 1388%
United Behavioral Health Psych $1,482 1388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals