CMS Price Transparency Data

X-ray, pelvis

Facility: North Hawaii Community Hospital, Inc

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $132
Cash Discount Price: $281
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at North Hawaii Community Hospital, Inc is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.24x the Medicare baseline. Located in 67 1125 Mamalahoa Highway, Kamuela, HI.

Cash / Self-Pay

$281

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $281 (263%)

Insurance Median: $132 (124%)

Cash: $281 (263% of Medicare)

Ins. Median: $132 (124% 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
Hawaii Community Health Alliance	$14	13%
Hawaii Mainland Administrators	$14	13%
Hmsa	$20 - $132	19%
University Health Alliance	$29	27%
Hawaii Laborers	$55	51%
Alohacare	$132	124%
Kaiser	$132 - $369	124%
Mdx Hawaii	$132	124%
Ohana Care	$132	124%
United Behavioral Health	$132	124%
UnitedHealthcare	$132	124%

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 $281.
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 North Hawaii Community Hospital, 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.