CMS Price Transparency Data

X-ray, pelvis

Facility: Northern Louisiana Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $610
  • Cash Discount Price: $335
  • vs. Medicare Baseline: 5.71x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Northern Louisiana Medical Center is $610. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.71x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$335

Average discount available for prompt cash payment at this facility.

Insurance Median
$610

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: $335 (314%)
Insurance Median: $610 (571%)
Cash: $335 (314% of Medicare)
Ins. Median: $610 (571% 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 571% of the Medicare baseline (a markup of 471%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $32 - $366 30%
UnitedHealthcare $46 - $366 43%
First Health $64 - $518 60%
Blue Cross Blue Shield $87 - $226 81%
Medicaid / KanCare $87 - $610 81%
Humana $96 90%
Golden Rule Ins $228 - $366 213%
Verity Healthnet $299 280%
Cigna $305 286%
Kaiser Permanente $305 286%
Gilsbar $335 314%
Self Pay $335 314%
Geha $488 - $579 457%
Multiplan $518 485%
Phcs $518 485%
Work Comp City Of Ruston $549 514%
Work Comp First Health $549 514%
Work Comp Nlmc Emp $549 514%
Workers Compensation $549 514%
Aarp $610 571%
Aflc American Family Life $610 571%
American Life Accident $610 571%
Apwu Health Plan $610 571%
Bankers Life And Casualty $610 571%
Benefit Trust Life $610 571%
Crime Victims Compensatio $610 571%
Equitable $610 571%
Fox Everett Inc $610 571%
Gmp Employers Retiree Tru $610 571%
Gsu Athletics $610 571%
Guarantee Trust Life Ins $610 571%
Healthfirst Tpa $610 571%
Hospice Of Caring Hearts $610 571%
Ima Insurance $610 571%
Industrial Accounts $610 571%
Liberty Healthshare $610 571%
Liberty Mutual Group $610 571%
Lifecare Specialty Hosp $610 571%
Lin Parish Detention $610 571%
Lincoln Kidney Center $610 571%
Ltu Athletics $610 571%
Ltu Student Ins Bollinger $610 571%
Mcr American Hlth Adv $610 571%
Misc Commercial $610 571%
Mva Insurance Payors $610 571%
Nalc Health Benefit Plan $610 571%
Nalc Natl Assoc Ltr Carri $610 571%
Newera $610 571%
Nlmc Community Services $610 571%
Physicians Mutual Ins $610 571%
Premier Hospice $610 571%
Principal Mutual Life Ins $610 571%
Protective Life Ins $610 571%
Ruston Regional Specialty $610 571%
Specialty Hosp Of Winnfie $610 571%
State Farm Insurance $610 571%
State Mutual Ins $610 571%
Sterling Investors Life $610 571%
The Hartford $610 571%
Union Bankers Insurance C $610 571%
Union Fidelity Life Ins $610 571%
United American $610 571%
United Teachers Ins $610 571%
Us Dept Of Labor $610 571%
Washington National Ins $610 571%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals