CMS Price Transparency Data

X-ray, pelvis

Facility: Wabash General Hospital 1

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $135
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Wabash General Hospital 1 is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.26x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $271 (254%)
Insurance Median: $135 (126%)
Cash: $271 (254% of Medicare)
Ins. Median: $135 (126% 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
Blue Cross Blue Shield $46 - $334 43%
UnitedHealthcare $49 - $307 46%
Health Alliance Mcr Adv - All Plans $50 - $121 47%
Aetna $104 - $326 97%
Healthlink Hmo $110 - $269 103%
Cigna $118 - $288 110%
Encore Combined Ip/Op Only $118 - $288 110%
Hope Trust - All Plans $118 - $288 110%
Healthlink Ppo - All Other Plans $126 - $307 118%
Phcs - All Plans $126 - $307 118%
Health Smart - All Plans $134 - $326 125%
Hfn - All Plans $134 - $326 125%
Multiplan - All Plans $134 - $326 125%
Siho Network - All Plans $134 - $326 125%
Meridian Mcaid - All Plans $136 127%
Molina Mcaid - All Plans $136 127%
Encore Health Network Ip/Op Only - All Other Plans $142 - $345 133%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1418 College Drive, Mount Carmel, IL 62863
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals