CMS Price Transparency Data

X-ray, pelvis

Facility: Pulaski Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $25
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Pulaski Memorial Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.23x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.
Cash / Self-Pay
$164

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $164 (154%)
Insurance Median: $25 (23%)
Cash: $164 (154% of Medicare)
Ins. Median: $25 (23% 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
UnitedHealthcare $7 - $351 7%
Ambetter / Centene $8 - $138 7%
Blue Cross Blue Shield $8 - $296 7%
Caresource Mcaid Hip $8 - $138 7%
Caresource Mcare Hmo $8 - $138 7%
Cenpatico Mcaid Hip $8 - $138 7%
Humana $8 - $358 7%
Mdwise Mcaid Hcc $8 - $14 7%
Mdwise Mcaid Hhw $8 - $14 7%
Mdwise Mcaid Hip - All Other Plans $8 - $138 7%
Mhs Mcaid Hip $8 - $138 7%
Mhs Mcare Allwell $8 - $139 7%
Multiplan - All Plans $8 - $400 7%
Caresource Exch Hmo Hix - All Other Plans $10 - $172 9%
Encore Ppo - All Other Plans $12 - $378 11%
Cigna $13 - $423 12%
Sagamore - All Other Plans $13 - $336 12%
Sagamore Rose Acre $13 - $331 12%
Caresource Mcaid Hhw $14 - $25 13%
Cenpatico Mcaid Hhw - All Other Plans $14 - $25 13%
Mhs Mcaid Hhw/Hcc $14 - $25 13%
Community Health Alliance - All Plans $16 - $396 15%
Encore Workers Comp $22 - $400 21%
Aetna $160 150%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 616 E 13Th St, Winamac, IN 46996
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals