CMS Price Transparency Data

X-ray, pelvis

Facility: Leonard J Chabert Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $91
Cash Discount Price: $58
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Leonard J Chabert Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.85x the Medicare baseline. Located in 1978 Industrial Blvd, Houma, LA.

Cash / Self-Pay

$58

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $58 (54%)

Insurance Median: $91 (85%)

Cash: $58 (54% of Medicare)

Ins. Median: $91 (85% 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.

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
Healthy Blue (Healthy Louisiana)	$33	31%
Humana	$33	31%
Louisiana Healthcare Connections (Healthy Louisiana)	$33	31%
UnitedHealthcare	$33 - $243	31%
Aetna	$34 - $3,846	32%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$34	32%
Tricare	$38 - $40	36%
Verity Commercial And First Choice Network	$71	66%
Blue Cross Blue Shield	$78 - $98	73%
Medicaid / KanCare	$81	76%
Cigna	$89	83%
Claritev D/B/A Multiplan/Phcs/American Life Care	$93	87%
Louisiana Workers' Compensation Corporation (Lwcc)	$93	87%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$98	92%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$98	92%
Medicare (plans)	$98	92%
Ochsner Health Plan	$98	92%
First Health Network	$99	93%
Healthcomp & Personify Health (Formerly Gilsbar)	$102	95%
Usa Managed Care Network	$105	98%
Zelis	$264	247%

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 $58.
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 Leonard J Chabert Medical Center 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.