CMS Price Transparency Data

X-ray, pelvis

Facility: Abbeville General Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $93
Cash Discount Price: $113
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Abbeville General Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.87x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $113 (106%)

Insurance Median: $93 (87%)

Cash: $113 (106% of Medicare)

Ins. Median: $93 (87% 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.

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
Cigna	$21 - $200	20%
Self Pay	$23 - $202	22%
Blue Cross Blue Shield	$25 - $216	23%
Humana	$30 - $303	28%
Triwest Healthcare Alliance	$30 - $262	28%
Aetna	$33 - $283	31%
Gilsbar Ppo	$35 - $313	33%
Ppo Plus	$35 - $303	33%
United Behavioral Health Inc	$35 - $303	33%
Verity Healthnet National	$35 - $303	33%
American Lifecare (Phcs)	$36 - $323	34%
Guardian Resources	$37 - $323	35%
Ppo Plus Professional	$37	35%
UnitedHealthcare	$37 - $323	35%
Coventry Company	$40 - $343	37%
Galaxy Health Network	$40 - $343	37%
Usa Managed Care	$40 - $343	37%
Health Payors Organization	$42 - $363	39%
Miscellaneous Insurance	$47 - $404	44%
Wellcare Of Louisiana	$47 - $404	44%
Vantage Health Plan	$84 - $727	79%
Office Of Group Benefits	$88	82%
Healthy Blue	$93	87%
People'S Health	$93	87%
Medicare (plans)	$95	89%
Sierra Health And Life Insurance	$95	89%
Sterling Life Insurance Company	$95	89%
Med-Comp Usa Inc	$220	206%

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 $113.
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 Abbeville General Hospital 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.