CMS Price Transparency Data

X-ray, pelvis

Facility: Sanford Luverne Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $201
  • Cash Discount Price: $216
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Sanford Luverne Medical Center is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.88x the Medicare baseline. Located in 1600 N Kniss Avenue P O Box 1019, Luverne, MN.
Cash / Self-Pay
$216

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

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: $216 (202%)
Insurance Median: $201 (188%)
Cash: $216 (202% of Medicare)
Ins. Median: $201 (188% 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
Blue Cross Blue Shield $65 - $250 61%
Sanford Health Plan Align $95 89%
Ucare $102 - $237 95%
Aetna $103 - $235 96%
Health Partners $103 - $216 96%
Medicare (plans) $103 96%
UnitedHealthcare $103 - $225 96%
Primewest $105 - $128 98%
Sanford Health Plan $145 - $170 136%
Security Health Plan $148 139%
Medica $237 - $255 222%
Cigna $243 228%
First Choice Health Network $243 228%
Healthez $243 228%
Multiplan $243 228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 N Kniss Avenue P O Box 1019, Luverne, MN 56156
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals