CMS Price Transparency Data

X-ray, pelvis

Facility: Henry Ford Macomb Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $8
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Henry Ford Macomb Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.07x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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%)
Insurance Median: $8 (7%)
Ins. Median: $8 (7% 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.

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 $5 - $150 5%
Amerihealth Michigan $5 - $8 5%
Mclaren Health Plan Inc. $5 - $8 5%
Meridian $5 - $8 5%
Molina $6 - $141 6%
Priority $6 - $8 6%
Hap $7 - $104 7%
Bcn $8 - $104 7%
Blue Cross Blue Shield $8 - $104 7%
Cca Health Mi $8 7%
Health Alliance Plan Of Michigan $8 7%
Humana $8 - $106 7%
Mount Carmel Health Plan $8 - $104 7%
Pace Se Mi $8 7%
United Behavioral Health, Inc. $8 7%
UnitedHealthcare $8 - $140 7%
Wellcare Ma $8 7%
Mclaren $10 9%
Meridian Health Plan Of Mi $10 - $141 9%
Priority Health $10 - $104 9%
Vitalcore Physicians Group Of Mi $11 - $240 10%
Cigna $14 - $224 13%
Wellcare $19 18%
Cofinity Group Health $84 - $206 79%
Pace Of Se Mi $99 93%
Cca Health Michigan $104 97%
Hap Caresource $104 97%
Mclaren Health $104 - $147 97%
Molina Mi Health Link $104 97%
Multiplan, Inc. $151 - $184 141%
University Of Michigan $183 - $223 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals