CMS Price Transparency Data

X-ray, pelvis

Facility: Avoyelles Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $336
  • Cash Discount Price: $112
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Avoyelles Hospital is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.15x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$112

Average discount available for prompt cash payment at this facility.

Insurance Median
$336

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: $112 (105%)
Insurance Median: $336 (315%)
Cash: $112 (105% of Medicare)
Ins. Median: $336 (315% 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 315% of the Medicare baseline (a markup of 215%). 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 $29 - $210 27%
Amer Contl Ins $29 - $210 27%
Coventry $29 - $210 27%
First Choice Health $29 - $210 27%
Meritan Health $29 - $373 27%
Cigna $78 - $210 73%
Correct Cr Int Hlt $78 73%
Mcd Amerihealth Caritas $78 73%
Mcd Healthy Blue $78 73%
Mcd La Hc Conn $78 73%
Medicaid / KanCare $78 73%
UnitedHealthcare $78 73%
Mcd Ms $85 80%
Student Assurances $112 - $373 105%
Humana $134 - $211 125%
Blue Cross Blue Shield $176 165%
Ofc Of Grp Bene $176 165%
Ppo Plus Llc $224 210%
Zelis Healthcare Bpa $224 210%
Gilsbar $235 220%
Amerind $336 315%
Applied Underwriters $336 315%
Sedgwick $336 315%
Us Dept Of Labor $336 315%
Wc Clms Admin Svcs $336 315%
Wc Clms Mgmnt Walmart $336 315%
Wc Esis $336 315%
Wc Fara $336 315%
Wc Gallagher Bassett $336 315%
Wc Guide One $336 315%
Wc Hartford Med $336 315%
Wc Luba $336 315%
Wc Lwcc $336 315%
Wc Paragon Casino Resort $336 315%
Wc Risk Mgmnt $336 315%
Wc Stone Trust $336 315%
Wc Summit Consulting Hold $336 315%
Wc Travelers Ins $336 315%
Wc Trs Workers Comp Claim $336 315%
Wc Us Dol $336 315%
Wc Zurich $336 315%
Aarp $373 349%
Admin Concepts $373 349%
All Saints Hospice $373 349%
All State $373 349%
Allegiance Health Hospice $373 349%
Allied Natl $373 349%
Amfirst $373 349%
Avoy Parish School Board $373 349%
Avoyelles Parish Sheriff $373 349%
Bollinger $373 349%
Ccmsi $373 349%
Central States $373 349%
Christus Health Plan $373 349%
Compassionate Care Hospic $373 349%
Core Source $373 349%
Coushatta Hlth Dept $373 349%
Ebms $373 349%
Federated Ins $373 349%
Feedom Life $373 349%
Fidelity Standard Life Co $373 349%
Fox Everette $373 349%
Guarantee Trust $373 349%
Heart Of Hospice $373 349%
Hos Christus Hospice $373 349%
Hos Guardian Hospice Care $373 349%
Hos Harbor Hospice Alex $373 349%
Hos La Hospice Palliative $373 349%
Hos Passages Hospice N. $373 349%
Hos St Joseph Hospice $373 349%
Hospice Miscellaneous $373 349%
Ins Mgmnt Admin $373 349%
Ins Tpa $373 349%
Liberty Health Share $373 349%
Lumico $373 349%
Manhattan Life Ins $373 349%
Medi Share $373 349%
Misc Comm $373 349%
Nalc $373 349%
New Era Life $373 349%
North American $373 349%
Phcs $373 349%
Physicians Mutual $373 349%
Pipeline Ind Bene $373 349%
Progressive Auto $373 349%
Reliance Standard Life $373 349%
Rural Carriers $373 349%
Shelter Ins Co $373 349%
Sierre Health And Life $373 349%
State Farm $373 349%
State Mutual $373 349%
Sterling Investors $373 349%
The Health Plan $373 349%
Tribal Hlth Partners $373 349%
Tricare $373 349%
Trustmark Health Benefits $373 349%
Tunica Biloxi $373 349%
Uct $373 349%
Unified Life $373 349%
Usaa Life Ins $373 349%
Web-Tpa $373 349%
Woodmen Of The World $373 349%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals