CMS Price Transparency Data

X-ray, pelvis

Facility: Bayou Bend Health System

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $77
Cash Discount Price: $85
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Bayou Bend Health System is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.72x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $85 (80%)

Insurance Median: $77 (72%)

Cash: $85 (80% of Medicare)

Ins. Median: $77 (72% 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
Tricare	$40 - $69	37%
UnitedHealthcare	$42 - $108	39%
Aetna	$44 - $105	41%
Blue Cross Blue Shield	$44 - $126	41%
Dignity Mcr Adv Ip/Op Only-All Plans	$44 - $77	41%
Humana	$44 - $100	41%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$44 - $77	41%
Verity Healthnet Mcr Adv Ip/Op Only	$44 - $77	41%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$44 - $77	41%
Ambetter / Centene	$51 - $89	48%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$63 - $108	59%
La Health Mcaid Ip/Op Only	$63 - $108	59%
Verity Healthnet Mcaid Ip/Op Only	$63 - $108	59%
Diocese Of Lafaytte Ip/Op Only-All Plans	$67 - $116	63%
Gilsbar 360 Ip/Op Only-All Plans	$67 - $116	63%
Verity Healthnet Ip/Op Only-All Other Plans	$67 - $116	63%
Ccn/First Health Ip/Op Only-All Plans	$71 - $123	66%
Integrated Hp Multiplan Ip/Op Only-All Plans	$71 - $123	66%
Ppo Plus / Zelis Ip/Op Only-All Plans	$71 - $123	66%
Geha Ppo Ip/Op Only-All Plans	$76 - $131	71%
Usa Mco Ip/Op Only-All Plans	$76 - $131	71%
Galaxy Ip/Op Only-All Plans	$80 - $139	75%
Cigna	$108	101%

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 $85.
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 Bayou Bend Health System 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.