CMS Price Transparency Data

X-ray, pelvis

Facility: Deaconess Illinois Crossroads

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $113
  • Cash Discount Price: $198
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Deaconess Illinois Crossroads is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$198

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $198 (185%)
Insurance Median: $113 (106%)
Cash: $198 (185% of Medicare)
Ins. Median: $113 (106% 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 $18 - $711 17%
Blue Cross Blue Shield $18 - $427 17%
Humana $18 - $702 17%
Meridian Health Plan $18 - $111 17%
Molina Healthcare Of Illinois $18 - $112 17%
Mytru Advantage $18 - $111 17%
Umwa $18 - $111 17%
UnitedHealthcare $18 - $522 17%
Wellcare $18 - $111 17%
Deaconess Onecare $23 - $495 22%
Alliance Coal $24 - $183 22%
Alter-Net Medical Services, Inc. $28 - $316 26%
Noncontracted $28 - $177 26%
Self-Pay $52 - $198 49%
Cigna $58 - $350 54%
Prime Health Services $112 - $675 105%
Care Improvement Plus $113 106%
Guardian Resources, Inc. $126 - $756 118%
Healthcare'S Finest Network (Hfn) $128 - $765 120%
Medicalcontrol Network Solutions $128 - $765 120%
National Provider Network $128 - $765 120%
Three Rivers Provider Network $130 - $783 122%
Beech Street $132 - $792 124%
Hope Trust $315 - $316 295%
Wexford Health Sources $405 - $630 379%
Encore Prime/Elite/Elite + $494 - $510 463%
Encore Combined $549 - $567 514%
Great West Healthcare Of Illinois $675 632%
Multiplan - Primary Network - Phcs $706 661%
Healthlink $720 - $765 674%
Coventry Healthcare $758 710%
First Health $758 710%
Multiplan - Complementary Network $768 719%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals