CMS Price Transparency Data

X-ray, pelvis

Facility: Ochsner Medical Center Acute

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $98
Cash Discount Price: $42
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Ochsner Medical Center Acute is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $42 (39%)

Insurance Median: $98 (92%)

Cash: $42 (39% of Medicare)

Ins. Median: $98 (92% 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
Healthy Blue (Healthy Louisiana)	$26	24%
Humana	$26 - $98	24%
Louisiana Healthcare Connections (Healthy Louisiana)	$26	24%
UnitedHealthcare	$26 - $245	24%
Aetna	$27 - $74	25%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$27	25%
Tricare	$38 - $98	36%
Blue Cross Blue Shield	$49 - $98	46%
Medicaid / KanCare	$81 - $86	76%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$98	92%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$98	92%
Medicare (plans)	$98	92%
Ochsner Health Plan	$98	92%
Cigna	$99	93%
Pace New Orleans	$107	100%
First Health Network	$128	120%
Louisiana Workers' Compensation Corporation (Lwcc)	$128	120%
Mississippi Physicians Care Network	$128	120%
Healthcomp & Personify Health (Formerly Gilsbar)	$135	126%
Claritev D/B/A Multiplan/Phcs/American Life Care	$137	128%
Zelis	$137	128%
Employers Health Network (Ehn)	$145	136%
Prime Health Services Ppo	$145	136%
Usa Managed Care Network	$145	136%
Behavioral Health Systems	$154	144%
Evolutions Healthcare	$154	144%
Galaxy Health Network Ppo	$154	144%
Galaxy Health Network Wc	$154	144%
Christus Health Exchange Plan	$218	204%

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 $42.
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 Ochsner Medical Center Acute 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.