CMS Price Transparency Data

X-ray, pelvis

Facility: Grady Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $101
  • Cash Discount Price: $649
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Grady Memorial Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $649. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.
Cash / Self-Pay
$649

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $649 (608%)
Insurance Median: $101 (95%)
Cash: $649 (608% of Medicare)
Ins. Median: $101 (95% 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 $8 - $289 7%
Ambetter / Centene $8 - $106 7%
Amerigroup $8 - $106 7%
Blue Cross Blue Shield $8 - $519 7%
Caresource $8 - $169 7%
Cigna $8 - $384 7%
Humana $8 - $106 7%
Kaiser $8 - $492 7%
Medicare (plans) $8 - $106 7%
Peach State $8 - $97 7%
UnitedHealthcare $8 - $528 7%
Vaccn $8 - $106 7%
Wellcare $8 - $106 7%
Clear Spring Health $9 - $111 8%
Clover $9 - $111 8%
Usp Naphcare $9 - $389 8%
Oscar Health $12 - $422 11%
Multiplan $500 468%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals