CMS Price Transparency Data

X-ray, pelvis

Facility: Mc Donough District Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $63
  • Cash Discount Price: $213
  • vs. Medicare Baseline: 0.59x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Mc Donough District Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.59x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$213

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $213 (199%)
Insurance Median: $63 (59%)
Cash: $213 (199% of Medicare)
Ins. Median: $63 (59% 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
Health Alliance $5 - $575 5%
Aetna $8 - $646 7%
Hfn $8 - $581 7%
Humana $8 - $581 7%
Medicaid / KanCare $8 - $646 7%
Medicare (plans) $8 - $119 7%
Meridian $8 - $119 7%
Molina $8 - $646 7%
Mutual Medical $8 - $646 7%
UnitedHealthcare $8 - $581 7%
Veteran Affairs $8 - $119 7%
Springfield Health $52 - $530 49%
Consociate $54 - $549 51%
Trilogy $54 - $549 51%
Blue Choice $57 - $581 53%
Current Health $57 - $581 53%
Healthlink $57 - $607 53%
Preferred Plan $60 - $614 56%
Blue Cross Blue Shield $63 - $646 59%
Tricare $111 104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals