CMS Price Transparency Data

X-ray, pelvis

Facility: Cherokee Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $126
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Cherokee Regional Medical Center is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.18x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $113 (106%)
Insurance Median: $126 (118%)
Cash: $113 (106% of Medicare)
Ins. Median: $126 (118% 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 $67 - $126 63%
Blue Cross Blue Shield $67 - $126 63%
Health Partners $67 - $126 63%
Humana $67 - $126 63%
UnitedHealthcare $67 - $126 63%
Wellpoint $67 - $126 63%
Iowa Total Care $69 - $126 65%
Molina $69 - $126 65%
Admin Concepts $126 118%
American Republic $126 118%
Apw $126 118%
Auxiant $126 118%
Avera $126 118%
Bankers Life $126 118%
Champus $126 118%
Cigna $126 118%
Liability $126 118%
Meridian $126 118%
Meritain $126 118%
Midlands $126 118%
Mutual Of Omaha $126 118%
Occunet $126 118%
Physicians Mutual $126 118%
Private Healthcare $126 118%
Sanford $126 118%
United American $126 118%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals