CMS Price Transparency Data

X-ray, pelvis

Facility: Cox Medical Centers

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $98
Cash Discount Price: $104
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Cox Medical Centers is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $104 (97%)

Insurance Median: $98 (92%)

Cash: $104 (97% of Medicare)

Ins. Median: $98 (92% 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
Parkcrest Dental Group	$49	46%
Coastal Energy Corporation	$50	47%
Heart Of America Beverage Company	$51	48%
Loren Cook	$52	49%
Springfieldgreene Co Library	$53	50%
Src Holdings Corporation	$53	50%
Ozark Anesthesia Assoc. Inc	$54	51%
Justice Furniture And Bedding Co	$55	51%
Missouri Affiliated School Consortium (Masc)	$55	51%
The Durham Company	$55	51%
Ozark County	$56	52%
Ozarks Cocacola	$56	52%
Flora Farms	$57	53%
Advanced Concrete Technology	$58	54%
Texas Co Memorial Hospital	$91	85%
Bjc Health Solutions	$98 - $411	92%
Cox Healthplans	$104	97%
Health Net Federal Services	$104	97%
Humana	$104	97%
Medrisk Llc	$104	97%
UnitedHealthcare	$104 - $400	97%
Blue Cross Blue Shield	$106 - $740	99%
Allwell	$107	100%
Devoted	$111	104%
Provider Partners Health Plan	$111	104%

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 $104.
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 Cox Medical Centers 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.