CMS Price Transparency Data

X-ray, pelvis

Facility: Deaconess Hospital Inc

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $38
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Deaconess Hospital Inc is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.36x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $137 (128%)
Insurance Median: $38 (36%)
Cash: $137 (128% of Medicare)
Ins. Median: $38 (36% 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 $14 - $249 13%
Humana $14 - $108 13%
Medicaid / KanCare $14 - $104 13%
Mhnet $14 - $20 13%
UnitedHealthcare $14 - $256 13%
Ambetter / Centene $17 - $162 16%
Blue Cross Blue Shield $17 - $347 16%
Medicare (plans) $17 - $108 16%
Meridiancare (Il) $17 - $108 16%
Molina (Il) Mmai $17 - $108 16%
Molina Il $17 - $108 16%
Mytru Advantage $17 - $108 16%
Patoka Valley Health Care (80/20 Plan) $17 - $217 16%
Patoka Valley Health Care (90/10 Plan) $17 - $203 16%
Triwest Vapc3 $17 - $103 16%
Wellcare (Il) Mmai $17 - $108 16%
Caresource In $18 - $26 17%
Center Care Narrow Select $18 - $244 17%
Center Care Open Access $18 - $265 17%
Meridiancomplete (Il) $18 - $108 17%
Meridianhealth (Il) $18 17%
Youthcare (Meridian Il) $18 17%
Youthcare (Wellcare Il) $18 17%
United Behavioral Health $19 - $28 18%
Caresource In Marketplace $23 - $162 22%
Deaconess Onecare $23 - $216 22%
Iu Health Network $23 - $212 22%
Alliance Coal $24 - $211 22%
Allied National $24 - $259 22%
Claimdoc $24 - $259 22%
Healthscope $24 - $259 22%
Hopetrust $26 - $259 24%
Hstechnology $26 - $259 24%
Encircle/Encore Combined $28 - $229 26%
Encircle/Encore Elite+ $28 - $238 26%
Encircle/Encore Prime $28 - $209 26%
Noncontracted $28 - $173 26%
Naphcare $29 - $178 27%
Cigna $35 - $290 33%
Claritev (Formerly Phcs Multiplan) $35 - $269 33%
First Health $35 - $306 33%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $35 - $108 33%
Ky Racing Health & Welfare Fund $52 - $137 49%
Self-Pay $52 - $137 49%
Chamber Care $90 - $259 84%
Parkview Signature Care $102 - $282 95%
Healthlink $112 - $352 105%
National Rural Electric $132 - $364 124%
Immergrun $173 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals