CMS Price Transparency Data

X-ray, pelvis

Facility: University of Michigan Health - West

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $199
Cash Discount Price: $119
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at University of Michigan Health - West is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.86x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $119 (111%)

Insurance Median: $199 (186%)

Cash: $119 (111% of Medicare)

Ins. Median: $199 (186% 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
Medicaid / KanCare	$57 - $70	53%
Molina Healthcare Of Mi	$57	53%
Priority Health	$57	53%
Care Resources	$96	90%
Humana	$107 - $223	100%
Insight Metro Care	$107	100%
Medicare (plans)	$107	100%
Molina Marketplace Commercial	$107	100%
Web Tpa	$130	122%
Aetna	$199 - $367	186%
Alliance Health & Life Ppo	$199	186%
Asr Physicians	$199	186%
Hap	$199	186%
Golden Rule Ins	$214	200%
Medica	$214	200%
Student Ins/Mega Life	$214	200%
UnitedHealthcare	$214	200%
Asr Cofinity	$248	232%
Cofinity Commercial	$248	232%
Cofinity Weyco	$248	232%
Core Source	$248	232%
Epoch Group	$248	232%
Health Partners	$248	232%
Hlthcomp Admin	$248	232%
Mid America	$248	232%

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 $119.
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 University of Michigan Health - West 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.