CMS Price Transparency Data

X-ray, pelvis

Facility: Winn Parish Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $303
  • Cash Discount Price: $91
  • vs. Medicare Baseline: 2.84x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Winn Parish Medical Center is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.84x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$91

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

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: $91 (85%)
Insurance Median: $303 (284%)
Cash: $91 (85% of Medicare)
Ins. Median: $303 (284% 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 284% of the Medicare baseline (a markup of 184%). 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 - $302 30%
Self Pay $91 85%
Medicaid / KanCare $96 - $105 90%
UnitedHealthcare $96 90%
Wellcare $96 90%
Humana $121 - $191 113%
Ima $151 141%
Multiplan Ppo $160 - $191 150%
Cigna $165 - $171 154%
Natl Assoc Of Letter Carr $165 - $302 154%
Ppoplus $182 170%
Zelis $182 170%
Blue Cross Blue Shield $201 188%
Medicare (plans) $201 188%
La Workers Comp Corp $272 255%
Workman'S Comp Op $272 255%
Aflac $302 283%
American Health Advantage $302 283%
American Retirement $302 283%
Amfirst $302 283%
Apwu Health Plan $302 283%
Attorney Claim $302 283%
Bankers Fidelity $302 283%
Commercial Miscellaneous $302 283%
Correct Care Integrated $302 283%
Fox Everett $302 283%
Gilsbar $302 283%
Guarantee Trust Life $302 283%
Heart Of Hospice $302 283%
Hospice Compassus $302 283%
Legacy Hospice $302 283%
Liberty Mutual $302 283%
Medico Insurance Company $302 283%
Meritain Health $302 283%
Miscellaneous $302 283%
Mutual Of Omaha $302 283%
New Era Life Ins $302 283%
Phcs $302 283%
Philadephia American $302 283%
Physicians Mutual $302 283%
Pipeline Ind Benefit Fund $302 283%
Rural Carrier Benefit $302 283%
Sentinel Security Life $302 283%
State Farm $302 283%
United American Ins $302 283%
United Of Omaha Life Ins $302 283%
Usaa Life Ins Co $302 283%
World Insurance Company $302 283%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals