CMS Price Transparency Data

X-ray, pelvis

Facility: Dukes Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $24
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Dukes Memorial Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.22x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $25 (23%)
Insurance Median: $24 (22%)
Cash: $25 (23% of Medicare)
Ins. Median: $24 (22% 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
Department Of Veterans Affairs $4 - $86 4%
Tricare $4 - $86 4%
Aetna $5 - $221 5%
Blue Cross Blue Shield $5 - $455 5%
Humana $5 - $92 5%
In Dept Of Correction $5 - $97 5%
Iu Health Plan $5 - $92 5%
Managed Health Services $5 - $186 5%
Medicare (plans) $5 - $92 5%
Miami County Sheriffs Department $5 - $97 5%
Node Devoted Health Mcr Adv $5 - $93 5%
Node Pphp Mcr Adv $5 - $98 5%
Node Va $5 - $225 5%
UnitedHealthcare $5 - $229 5%
Lutheran Advanced Network $7 - $140 7%
Lutheran Three Rivers Preferred Plus 150 $7 - $140 7%
Node Lutheran Preferred Fixed 2 $7 - $140 7%
Align Network $8 - $149 7%
Lutheran Preferred $8 - $372 7%
Lutheran Three Rivers Preferred Plus 175 $8 - $163 7%
Encore Work Comp In $9 - $167 8%
Partners Direct Health Llc $9 - $177 8%
Prime Health Services $9 - $349 8%
Cigna $10 - $465 9%
Lutheran Northwest Health Preferred $10 - $186 9%
Physicians Health Plan $10 - $217 9%
Three Rivers Preferred Plus $10 - $186 9%
Work Comp $10 - $186 9%
Php Freedom $11 - $215 10%
Three Rivers Preferred $11 - $209 10%
Amish Aid $12 - $232 11%
Encore Kba Epo $12 - $223 11%
Encore Ppo $12 - $232 11%
Self Pay $12 - $256 11%
Sagamore Health Network $13 - $258 12%
Encore Kba Ppo $14 - $279 13%
Consumer Life $15 - $288 14%
First Health $19 - $372 18%
Multiplan $19 - $377 18%
Advantage Health Solutions $20 - $386 19%
Encore Health Network $20 - $381 19%
Encore $22 - $418 21%
Veterans Eval Services $24 - $97 22%
One Call Wc $26 24%
Caresource $41 - $54 38%
Us Department Of Labor $44 41%
Medicaid / KanCare $54 51%
Mhs $54 51%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals