CMS Price Transparency Data

X-ray, pelvis

Facility: Berkshire Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $198
Cash Discount Price: $322
vs. Medicare Baseline: 1.85x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Berkshire Medical Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $322. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.85x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$322

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $322 (301%)

Insurance Median: $198 (185%)

Cash: $322 (301% of Medicare)

Ins. Median: $198 (185% 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
Cdphp	$22 - $305	21%
Health New England	$22 - $236	21%
Mcd Out Of State	$22 - $71	21%
Medicaid / KanCare	$22 - $71	21%
Workers Comp	$23 - $205	22%
Comm Tufts Qhpsub (Network)	$24 - $191	22%
Point32Health	$24 - $322	22%
Bmchnp	$25 - $92	23%
Other Government	$28 - $134	26%
Hospice	$29 - $134	27%
Medicare (plans)	$29 - $132	27%
UnitedHealthcare	$29 - $291	27%
Blue Cross Blue Shield	$30 - $288	28%
Commcare Alliance	$30 - $158	28%
Fallon	$31 - $158	29%
Aetna	$34 - $256	32%
Comm Hne Hmo	$53 - $223	50%
Comm Hne Ppo	$57 - $237	53%
Unicare	$69 - $220	65%
Mbhp	$71	66%
Allways Nhp	$184 - $219	172%
Beacon	$242 - $305	227%
Cigna	$256 - $315	240%
Mvp	$256 - $305	240%
Oxford	$256 - $305	240%
First Health	$264 - $322	247%
Connecticare	$270 - $322	253%
Consolidated Health Plans	$270 - $322	253%
Other Commercial	$270 - $322	253%
Phcs	$270 - $322	253%
Self Pay	$270 - $322	253%

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 $322.
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 Berkshire 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.