CMS Price Transparency Data
X-ray, pelvis
Facility: Baptist Memorial Hospital Booneville
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $171
- Cash Discount Price: $112
- vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Baptist Memorial Hospital Booneville is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.60x the Medicare baseline. Located in 100 Hospital Street, Booneville, MS.
Cash / Self-Pay
$112
Average discount available for prompt cash payment at this facility.
Insurance Median
$171
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: $112 (105%)
Insurance Median: $171 (160%)
Cash: $112 (105% of Medicare)
Ins. Median: $171 (160% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Triwest | $91 | 85% |
| Humana | $95 - $307 | 89% |
| Ms Breast And Cervical | $95 | 89% |
| Vaccn | $95 | 89% |
| Veterans Evaluation Services | $95 | 89% |
| Devoted Health | $97 | 91% |
| Molina | $97 - $232 | 91% |
| Blue Cross Blue Shield | $98 - $349 | 92% |
| Aetna | $99 - $291 | 93% |
| American Health Plan | $99 | 93% |
| Shared Health | $99 | 93% |
| Magnolia Ms | $128 | 120% |
| First State Bank Trust | $161 | 151% |
| Arlington Community Schools | $170 | 159% |
| Armstrong Relocation | $170 | 159% |
| Ashley Furniture Stores | $170 | 159% |
| Bartlett City Schools | $170 | 159% |
| Brimhall Foods | $170 | 159% |
| Building Plastic | $170 | 159% |
| Burch Food Services | $170 | 159% |
| Cannon Motor Company | $170 | 159% |
| Carlisle | $170 | 159% |
| City Of Bartlett | $170 | 159% |
| City Of Lakeland | $170 | 159% |
| Collierville Schools | $170 | 159% |
| Crittenden County | $170 | 159% |
| Davidson Hospitality | $170 | 159% |
| Delta Industries | $170 | 159% |
| Desoto Co Board Of Supervisors | $170 | 159% |
| Dunn Investment Company | $170 | 159% |
| Eas Mssc Schools | $170 | 159% |
| First Choice Health Plan Of Ms | $170 - $326 | 159% |
| First Community Bank | $170 | 159% |
| French Camp Academy | $170 | 159% |
| Gossett Motor Cars | $170 | 159% |
| Hattiesburg Clinic | $170 | 159% |
| Heartland Catfish Company | $170 | 159% |
| Heavy Machines | $170 | 159% |
| Hollowell Industries | $170 | 159% |
| Hospitality Management Advisors | $170 | 159% |
| Jas D Collier | $170 | 159% |
| Lakeland School System | $170 | 159% |
| Malco Theaters | $170 | 159% |
| Mechanical Systems | $170 | 159% |
| Mid-South Transport | $170 | 159% |
| Minact | $170 | 159% |
| Patterson Warehouses | $170 | 159% |
| Radians | $170 | 159% |
| Rei Nation | $170 | 159% |
| Retzer Resources | $170 | 159% |
| Ritchey Automotive | $170 | 159% |
| Security One | $170 | 159% |
| Silver Tree | $170 | 159% |
| State Systems | $170 | 159% |
| Town Of Collierville | $170 | 159% |
| United Tn Holdings | $170 | 159% |
| Vaughn Electric | $170 | 159% |
| W G Yates | $170 | 159% |
| W W Wood Products | $170 | 159% |
| Watkins Uiberall | $170 | 159% |
| Y K Auto Group | $170 | 159% |
| Ppo Holdings | $177 | 166% |
| Magnolia Regional Health Center | $186 | 174% |
| Employers Health Network | $189 | 177% |
| Harding Academy | $189 | 177% |
| Mpcn | $189 | 177% |
| Littler | $232 | 217% |
| Cigna | $256 | 240% |
| Primewell | $265 | 248% |
| Advanced Health Systems Inc. | $279 | 261% |
| UnitedHealthcare | $279 - $307 | 261% |
| Multiplan | $349 | 327% |
| Novasys | $349 | 327% |
| Christian Health Aid | $372 | 348% |
| Ppo Plus | $395 | 370% |
| Qca | $418 | 391% |