CMS Price Transparency Data

X-ray, pelvis

Facility: Fayette County Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $111
Cash Discount Price: $331
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Fayette County Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $331. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.

Cash / Self-Pay

$331

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $331 (310%)

Insurance Median: $111 (104%)

Cash: $331 (310% of Medicare)

Ins. Median: $111 (104% 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	$7 - $420	7%
Health Alliance Mcare	$8 - $195	7%
Healthlink Mcr Adv	$8 - $195	7%
Cigna	$9 - $457	8%
Coventry/Ghp-All Plans	$11 - $396	10%
Multiplan - All Plans	$15 - $518	14%
Health Alliance - All Other Plans	$17 - $503	16%
Blue Cross Blue Shield	$19 - $512	18%
Illinicare - All Plans	$40 - $111	37%
Medicaid / KanCare	$40 - $111	37%
Meridian-All Plans	$40 - $111	37%
UnitedHealthcare	$43 - $505	40%
Healthlink Hmo	$45 - $426	42%
Healthlink Ppo - All Other Plans	$45 - $487	42%
Humana	$195	183%

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 $331.
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 Fayette County 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.