CMS Price Transparency Data

X-ray, pelvis

Facility: Astera Health

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $71
Cash Discount Price: $137
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Astera Health is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.66x the Medicare baseline. Located in 421 11Th Street Nw, Wadena, MN.

Cash / Self-Pay

$137

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $137 (128%)

Insurance Median: $71 (66%)

Cash: $137 (128% of Medicare)

Ins. Median: $71 (66% 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
Blue Plus Pmap [40002]	$6 - $5,128	6%
Blue Cross Blue Shield	$9 - $5,128	8%
Health Partners [10045]	$9 - $5,128	8%
Medica Nonpmap [10056]	$9 - $24,383	8%
Primewest Non Pmap [30004]	$9 - $5,128	8%
Ucare Non Pmap [30007]	$9 - $5,385	8%
Sanford Health Plan [10120]	$15 - $266	14%
Ucare Pmap [30006]	$17 - $1,691	16%
Health Partners Pmap [10046]	$21 - $157	20%
Medica Pmap [10057]	$21 - $3,448	20%
Primewest Pmap [30003]	$21 - $3,448	20%
UnitedHealthcare	$35 - $242	33%
Ucare Commercial [10705]	$59 - $233	55%
Multiplan	$63 - $250	59%
Aetna	$71 - $282	66%

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 $137.
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 Astera Health 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.