CMS Price Transparency Data

X-ray, pelvis

Facility: Womans Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $271
Cash Discount Price: $339
vs. Medicare Baseline: 2.54x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Womans Hospital is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.54x the Medicare baseline. Located in 100 Woman's Way, Baton Rouge, LA.

Cash / Self-Pay

$339

Average discount available for prompt cash payment at this facility.

Insurance Median

$271

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: $339 (317%)

Insurance Median: $271 (254%)

Cash: $339 (317% of Medicare)

Ins. Median: $271 (254% 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 254% of the Medicare baseline (a markup of 154%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Webtpa [100127]	$203 - $266	190%
Fmolhs Employees [100257]	$237	222%
UnitedHealthcare	$251 - $271	235%
Blue Cross Blue Shield	$266	249%
La Women'S Healthcare [100265]	$266	249%
Verity [100266]	$266	249%
Aetna	$271 - $319	254%
Cigna	$271 - $281	254%
Coventry [100010]	$271	254%
Ppo Plus [100259]	$271	254%
Beech Street [100260]	$288	270%
Multiplan [100258]	$298	279%
Private Health [100261]	$298	279%
Humana	$319	299%
Meritain [100063]	$319	299%

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 $339.
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 Womans 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.