CMS Price Transparency Data

X-ray, pelvis

Facility: Hamilton Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $156
Cash Discount Price: $172
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Hamilton Memorial Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $172 (161%)

Insurance Median: $156 (146%)

Cash: $172 (161% of Medicare)

Ins. Median: $156 (146% 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
Aetna	$27 - $182	25%
Blue Cross Blue Shield	$27 - $184	25%
Health Alliance	$27 - $162	25%
Medicare (plans)	$27 - $81	25%
UnitedHealthcare	$27 - $145	25%
Wellcare	$27 - $81	25%
Medicaid / KanCare	$75 - $81	70%
Humana	$81	76%
Alliance Coal	$142	133%
Healthscope	$142	133%
Wellfirst (Ssmhic)	$142	133%
Hope Trust	$152	142%
Cigna	$159	149%
Hfn, Inc	$162 - $182	152%
Healthlink	$172 - $182	161%
Multiplan	$172	161%
Siho	$182	170%
Three Rivers Provider	$182	170%
Healthsmart	$193	181%
Stratose	$193	181%

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 $172.
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 Hamilton Memorial Hospital 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.