CMS Price Transparency Data

X-ray, pelvis

Facility: Crossgates River Oaks Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $100
  • Cash Discount Price: $100
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Crossgates River Oaks Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.94x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$100

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $100 (94%)
Insurance Median: $100 (94%)
Cash: $100 (94% of Medicare)
Ins. Median: $100 (94% 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
Cigna $4 - $902 4%
Self Pay $5 - $361 5%
Trimed Billing Solutions $5 - $387 5%
UnitedHealthcare $5 - $374 5%
Ms State Hospital Of Whitfield $6 - $490 6%
First Choice Standard $8 - $593 7%
First Choice Coventry $9 - $670 8%
First Choice Mpcn Standard $9 - $709 8%
First Choice Ppo Plus $9 - $709 8%
Phcs $10 - $773 9%
Aetna $12 - $902 11%
Benefit Management Systems $12 - $1,096 11%
American Health Group $14 - $1,096 13%
Beech Street $14 - $1,096 13%
First Choice Stratose $14 - $1,031 13%
Ibew $14 - $1,096 13%
Prime Health Services $14 - $1,031 13%
One Health Plan $15 - $1,160 14%
Ms Dept Of Rehabilitation Services $17 - $1,289 16%
Veterans Eval Services $17 - $91 16%
Ms Work Comp $43 40%
Prime Health Wc $43 40%
Medicaid / KanCare $81 - $197 76%
Magnolia Mcd Chip $82 77%
Caresource Truecare $83 78%
Molina Chip $88 82%
Tricare $90 84%
Node Champva $94 88%
Humana $99 93%
Medicare (plans) $99 93%
Node First Choice Shared Health Of Ms Mcr Adv $99 93%
Node Vantage Health Mcr Adv $99 93%
Node Windsor Mcr Adv $99 93%
Node Magnolia Mcr Adv $100 94%
Molina $101 95%
Node Devoted Health Mcr Adv $101 95%
Node First Choice American Health Of Ms Mcr Adv $101 95%
Node Hospice Non Par Agree $101 95%
Node Va $101 95%
Node First Choice Wellcare Mcr Adv $103 96%
Node Healthy Mississippi Mcr Adv $111 104%
Node Us Dept Of Labor $126 118%
First Choice Preferred $152 142%
Node First Choice Occunet $152 142%
Molina Exchange $171 160%
Node Magnolia Exchange $177 166%
First Choice Lgp $220 206%
Vantage Health Commercial $227 213%
Advanced Health Systems $242 227%
Blue Cross Blue Shield $312 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals