CMS Price Transparency Data

X-ray, pelvis

Facility: Morris Hospital & Healthcare Centers

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $66
Cash Discount Price: $91
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Morris Hospital & Healthcare Centers is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.62x the Medicare baseline. Located in 150 W High St, Morris, IL.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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: $91 (85%)

Insurance Median: $66 (62%)

Cash: $91 (85% of Medicare)

Ins. Median: $66 (62% 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
UnitedHealthcare	$6 - $567	6%
Aetna	$8 - $452	7%
Choicecare Hum Mcr Ppo	$8 - $112	7%
Choicecare Hum Othr - All Other Plans	$8 - $589	7%
Health Alliance Mcr Adv	$8 - $115	7%
Cigna	$9 - $552	8%
Caterpillar - All Plans	$10 - $331	9%
Capp Care Ppo-Oth	$11 - $353	10%
Ambetter / Centene	$12 - $515	11%
Multiplan Prime Ntwrk	$12 - $589	11%
Multiplan - All Other Plans	$13 - $589	12%
Health Alliance - All Other Plans	$14 - $626	13%
Blue Cross Blue Shield	$19 - $353	18%
Hfn All Plans - All Plans	$19 - $626	18%

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 $91.
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 Morris Hospital & Healthcare Centers 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.