CMS Price Transparency Data

X-ray, pelvis

Facility: Shepherd Center, Inc.

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $103
Cash Discount Price: $183
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Shepherd Center, Inc. is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.96x the Medicare baseline. Located in 2020 Peachtree Rd Nw, Atlanta, GA.

Cash / Self-Pay

$183

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $183 (171%)

Insurance Median: $103 (96%)

Cash: $183 (171% of Medicare)

Ins. Median: $103 (96% 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
Blue Cross Blue Shield	$6 - $26	6%
Medicare (plans)	$8 - $104	7%
Humana	$10 - $102	9%
Kaiser	$10 - $23	9%
Aetna	$13 - $311	12%
Coventry	$13 - $238	12%
UnitedHealthcare	$36 - $112	34%
Paradigm Wc	$179	168%
Secure Health	$220	206%
Cigna	$230	215%
Coventry Wc	$238	223%
Alamed Wc	$256	240%
Fcci Wc	$256	240%
Multiplan	$274	257%
Evolution Wc	$293	274%
Prime Health Wc	$293 - $329	274%
Corvel Wc	$311	291%
Novanet Wc	$311	291%

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 $183.
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 Shepherd Center, Inc. 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.