CMS Price Transparency Data

X-ray, pelvis

Facility: Byrd Regional Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $386
Cash Discount Price: $196
vs. Medicare Baseline: 3.61x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Byrd Regional Hospital is $386. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.61x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$386

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: $196 (184%)

Insurance Median: $386 (361%)

Cash: $196 (184% of Medicare)

Ins. Median: $386 (361% 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 361% of the Medicare baseline (a markup of 261%). 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
Aetna	$21 - $654	20%
Coventry Healthcare Of La	$21 - $390	20%
Cigna	$39 - $416	37%
Amerihealth Caritas	$85 - $93	80%
Correct Care Int Hth	$85 - $93	80%
Healthy Blue	$85 - $93	80%
La Healthcare Conn Mdcaid	$85 - $93	80%
Medicaid / KanCare	$85 - $93	80%
UnitedHealthcare	$85 - $654	80%
Humana	$93 - $102	87%
Blue Cross Blue Shield	$194	182%
Self Pay	$196	184%
Verity Health	$457	428%
Us Dept Of Labor	$588	551%
Workers Comp	$588	551%
Aflac	$654	612%
American Health Advantage	$654	612%
Amfirst	$654	612%
Hospice Of Leesville	$654	612%
Industrial	$654	612%
Misc Comm	$654	612%
Mischmoppo	$654	612%
Mutual Of Omaha	$654	612%
Mva	$654	612%
Phcs Private Health	$654	612%
Physicans Mutual	$654	612%
State Farm Insurance	$654	612%
Sterling	$654	612%
Stonetrust	$654	612%
Tri Parish Rehab	$654	612%
United Teacher Asso	$654	612%
Web Tpa	$654	612%

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 $196.
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 Byrd Regional 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.