CMS Price Transparency Data

X-ray, pelvis

Facility: The Women's Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $35
  • Cash Discount Price: $238
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at The Women's Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.33x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$238

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $238 (223%)
Insurance Median: $35 (33%)
Cash: $238 (223% of Medicare)
Ins. Median: $35 (33% 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
Chamber Care $8 - $283 7%
Immergrun $9 - $169 8%
Encorecombined $12 - $283 11%
Encoreprime $12 - $275 11%
Aetna $14 - $269 13%
Blue Cross Blue Shield $14 - $359 13%
Caresource Hip $14 - $26 13%
Caresource In $14 - $26 13%
Humana $14 - $98 13%
Mdwise Hip $14 - $26 13%
Mhs Behavioral $14 - $26 13%
Passport Molina Ky $14 - $93 13%
UnitedHealthcare $14 - $323 13%
Wellcare Ky $14 - $98 13%
Caresource $17 - $98 16%
Iu Health $17 - $202 16%
Meridian Health Il $17 - $98 16%
Mhs $17 - $98 16%
Molina Il $17 - $98 16%
Molina Ky $17 - $98 16%
Molina Ky Dual $17 - $98 16%
Patoka Valley Health Care (80/20 Plan) $17 - $250 16%
Patoka Valley Health Care (90/10 Plan) $17 - $242 16%
Ambetter / Centene $20 - $152 19%
Caresource Marketplace (Just4Me) $23 - $147 22%
One Care $23 - $283 22%
Alliance Coal $24 - $280 22%
Allied National/Zelis - Freedom Plan $24 - $240 22%
Hst $24 - $147 22%
Claimdoc $25 - $142 23%
Hope Trust $28 - $162 26%
Noncontracted $28 - $157 26%
Cigna $35 - $291 33%
Claritev (Formerly Phcs/Mulitplan) $35 - $279 33%
First Health/Coventry $35 - $299 33%
Healthlink $35 - $343 33%
Sagamore $35 - $291 33%
Amish $39 - $64 37%
Self Pay $52 - $238 49%
Center Care $90 - $315 84%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals