CMS Price Transparency Data

X-ray, pelvis

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $128
Cash Discount Price: $197
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Surgical Specialty Center of Baton Rouge is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.20x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $197 (184%)

Insurance Median: $128 (120%)

Cash: $197 (184% of Medicare)

Ins. Median: $128 (120% 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
Aetna	$22 - $98	21%
Amerihealth	$22	21%
Healthy_Blue	$22	21%
Humana	$22 - $143	21%
Lhc	$22	21%
Medicaid / KanCare	$22	21%
United_Caid	$22	21%
Coventry	$26	24%
Workcomp_Cov	$26	24%
Verity	$31	29%
Ehn	$41	38%
Lsufirst	$74	69%
Cigna	$92	86%
Blue Cross Blue Shield	$95 - $139	89%
Medadv-Peoples	$95	89%
Medicare (plans)	$95	89%
Tricare	$95	89%
UnitedHealthcare	$95	89%
Va	$96	90%
Wellcare	$99	93%
Gilsbar	$128	120%
Lucent	$133	125%
Multiplan-Pos	$157	147%
Multiplan-Ppo	$157	147%
Ppoplus	$160	150%
Stjude	$170	159%
Bayou-Med	$183	171%
Dma	$183	171%
Lsu	$183	171%
Southern-Univ	$183	171%
Womans_Hosp	$183	171%
Reny	$196	184%
Ambetter / Centene	$198	185%
Workcomp_3R	$212	198%
Workcomp_Saints	$218	204%
Three_Rivers	$223	209%
Workcomp_Strat	$223	209%
Geha	$231	216%
Workcomp_Fp	$236	221%
United	$245	229%
Usa_Mco	$246	230%
Uhc_Commcoffee	$262	245%

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 $197.
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 Surgical Specialty Center of Baton Rouge 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.