CMS Price Transparency Data

X-ray, pelvis

Facility: Acadian Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $437
Cash Discount Price: $131
vs. Medicare Baseline: 4.09x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Acadian Medical Center is $437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.09x the Medicare baseline. Located in 3501 Highway 190 East, Eunice, LA.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$437

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: $131 (123%)

Insurance Median: $437 (409%)

Cash: $131 (123% of Medicare)

Ins. Median: $437 (409% 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 409% of the Medicare baseline (a markup of 309%). 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
Pp0/Manged Care	$27 - $436	25%
Ppo/Manged Care	$27 - $436	25%
Aetna	$82	77%
Mcd Hmo Amerigroup	$82	77%
Mcd Hmo La Care	$82	77%
Mcd Hmo La Hlth Cr Connct	$82	77%
Medicaid / KanCare	$82 - $436	77%
UnitedHealthcare	$82	77%
Mcd Hmo Com Hlth Solution	$91	85%
Charity/Map	$131 - $436	123%
Blue Cross Blue Shield	$211	198%
American Postal Workers	$278	260%
Work Comp	$393	368%
Auto Insurance	$436	408%
Bankers Fidelity	$436	408%
Commerical	$436	408%
Commerical Ip	$436	408%
Industrial	$436	408%
Medicare (plans)	$436	408%
Mra Auto/Liability	$436	408%

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 $131.
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 Acadian 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.