CMS Price Transparency Data

X-ray, pelvis

Facility: Ochsner Rush Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $99
Cash Discount Price: $67
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Ochsner Rush Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.93x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$99

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: $67 (63%)

Insurance Median: $99 (93%)

Cash: $67 (63% of Medicare)

Ins. Median: $99 (93% 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
Cigna	$30 - $97	28%
Prime Health Services Ppo -Workers Comp	$56	52%
Cor Vel	$57	53%
UnitedHealthcare	$62 - $97	58%
Medicaid / KanCare	$81 - $86	76%
Humana	$89 - $97	83%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$97	91%
Medicare (plans)	$97 - $112	91%
Shared Health Mississippi	$102	95%
Ambetter / Centene	$136	127%
Aetna	$140	131%
Select Administrative Services Network	$150	140%
Zelis	$160	150%
Claritev D/B/A Multiplan/Phcs/American Life Care	$161	151%
Prime Health Services Ppo	$172	161%
Blue Cross Blue Shield	$240 - $309	225%
Primewell Health Services Commercial Exchange Plan	$272	255%
Primewell Health Services – Commercial	$272	255%

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 $67.
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 Ochsner Rush Hospital 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.