CMS Price Transparency Data

X-ray, pelvis

Facility: Ochsner Medical Center-Kenner

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $98
Cash Discount Price: $67
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Ochsner Medical Center-Kenner is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 180 West Esplanade Avenue, Kenner, LA.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $67 (63%)

Insurance Median: $98 (92%)

Cash: $67 (63% of Medicare)

Ins. Median: $98 (92% 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
Humana	$40 - $98	37%
UnitedHealthcare	$40 - $245	37%
Healthy Blue (Healthy Louisiana)	$41	38%
Louisiana Healthcare Connections (Healthy Louisiana)	$41	38%
Aetna	$42 - $111	39%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$42	39%
Blue Cross Blue Shield	$42 - $98	39%
Medicaid / KanCare	$81 - $86	76%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$95	89%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$98	92%
Medicare (plans)	$98	92%
Ochsner Health Plan	$98	92%
Tricare	$98	92%
Wellcare Of Louisiana	$101	95%
Zelis	$133	125%
Healthcomp & Personify Health (Formerly Gilsbar)	$145	136%
Claritev D/B/A Multiplan/Phcs/American Life Care	$156	146%
First Health Network	$181	169%
Louisiana Workers' Compensation Corporation (Lwcc)	$181	169%
Mississippi Physicians Care Network	$181	169%
Galaxy Health Network Ppo	$193	181%
Galaxy Health Network Wc	$193	181%
Employers Health Network (Ehn)	$205	192%
Prime Health Services Ppo	$205	192%
Usa Managed Care Network	$205	192%
Cigna	$210	197%

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 $67.
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 Ochsner Medical Center-Kenner 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.