CMS Price Transparency Data

X-ray, pelvis

Facility: Poplar Bluff Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $140
  • Cash Discount Price: $140
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Poplar Bluff Regional Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.31x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$140

Average discount available for prompt cash payment at this facility.

Insurance Median
$140

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: $140 (131%)
Insurance Median: $140 (131%)
Cash: $140 (131% of Medicare)
Ins. Median: $140 (131% 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
Medicaid / KanCare $3 - $154 3%
Blue Cross Blue Shield $4 - $329 4%
Self Pay $4 - $168 4%
Cigna $9 - $560 8%
Evolutions Healthcare $9 - $382 8%
Tyson Foods $9 - $385 8%
UnitedHealthcare $9 - $377 8%
Access Health Services, Llc $10 - $399 9%
Parker Hannifin $10 - $490 9%
First Health $11 - $455 10%
Healthlink $11 - $438 10%
Blue Traditional $13 - $540 12%
Coventry Wc $14 - $560 13%
Municipal Health $14 - $560 13%
Compresults Wc $15 - $630 14%
Multiplan $15 - $609 14%
Phcs $15 - $609 14%
Veterans Eval Services $17 - $92 16%
Node Champva $106 99%
Tricare $106 99%
Medicare (plans) $110 103%
Node United Behavioral Health Mcr Adv $110 103%
Humana $111 104%
Node Hospice Non Par Agree $112 105%
Node Va $112 105%
Node Ahs Mcr Adv $115 108%
Node Devoted Health Mcr Adv $116 109%
Node Pphp Mcr Adv $127 119%
Centurion Correctional $140 131%
Us Department Of Labor $140 131%
Naphcare $213 199%
Home State Exchange $280 262%
W W Wood $280 262%
Blue Access $384 360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals