CMS Price Transparency Data

X-ray, pelvis

Facility: Doctors Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $169
  • Cash Discount Price: $1,188
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Doctors Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,188. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.58x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$1,188

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $1,188 (1112%)
Insurance Median: $169 (158%)
Cash: $1,188 (1112% of Medicare)
Ins. Median: $169 (158% 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
Blue Cross Blue Shield $12 - $56 11%
Health One Alliance $31 29%
Blue Choice $34 32%
Aetna $43 - $655 40%
Ambetter / Centene $142 133%
Amerigroup $169 158%
United $185 - $535 173%
Absolute Total Care $214 200%
Nhc Advantage $226 212%
Pruitt Health $226 212%
Peach State $238 223%
Wellcare $238 223%
Prime Health $267 250%
Rockport United Network $273 256%
Identity Mco $279 261%
Centurion $329 308%
Americas 1St Choice $333 312%
Medcost $595 - $759 557%
Kaiser Permanente $649 608%
Multiplan $713 - $1,069 668%
Performax $808 756%
First Health $891 834%
Employer'S Health Network $951 890%
Novanet $1,069 1001%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals