CMS Price Transparency Data

X-ray, pelvis

Facility: Cleveland Clinic Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $31
Cash Discount Price: $552
vs. Medicare Baseline: 0.29x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Cleveland Clinic Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $552. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.29x the Medicare baseline. Located in 3100 Weston Rd, Weston, FL.

Cash / Self-Pay

$552

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $552 (517%)

Insurance Median: $31 (29%)

Cash: $552 (517% of Medicare)

Ins. Median: $31 (29% 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.

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
Avmed	$8 - $231	7%
Blue Cross Blue Shield	$8 - $455	7%
Doctors Health Plan	$8 - $107	7%
United	$8 - $252	7%
Wellcare	$8 - $107	7%
Clear Spring Health	$9 - $40	8%
Independent Living Systems	$9 - $112	8%
Aetna	$10 - $646	9%
Cigna	$10 - $237	9%
Maritime	$37 - $462	35%
Multiplan	$37 - $722	35%
Clarity Health	$48 - $600	45%
The Legacy Companies	$48 - $600	45%
Consociate Health	$56 - $692	52%
Humana	$107	100%
Devoted Health	$117	110%
Bmi	$467	437%

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 $552.
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 Cleveland Clinic 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.