CMS Price Transparency Data

X-ray, pelvis

Facility: Frankfort Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $316
Cash Discount Price: $1,174
vs. Medicare Baseline: 2.96x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Frankfort Regional Medical Center is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,174. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.96x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$1,174

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $1,174 (1099%)

Insurance Median: $316 (296%)

Cash: $1,174 (1099% of Medicare)

Ins. Median: $316 (296% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 296% of the Medicare baseline (a markup of 196%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$91 - $334	85%
Molina	$91 - $97	85%
United	$91 - $544	85%
Humana	$92 - $334	86%
Corvel	$183 - $194	171%
Prime Health	$183 - $194	171%
Coventry Cares	$205 - $218	192%
Signature Advantage	$217 - $230	203%
Cigna	$335 - $355	314%
Essence Healthcare	$513 - $544	480%
Baptist Health Network	$616 - $653	577%
Hospice Of Central Kentucky	$718 - $761	672%
Occupational Mc Alliance	$912 - $967	854%
Multiplan	$1,083 - $1,148	1014%

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 $1,174.
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 Frankfort Regional Medical Center 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.