CMS Price Transparency Data

X-ray, pelvis

Facility: Merit Health Women's Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $142
  • Cash Discount Price: $190
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Merit Health Women's Hospital is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.33x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$190

Average discount available for prompt cash payment at this facility.

Insurance Median
$142

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: $190 (178%)
Insurance Median: $142 (133%)
Cash: $190 (178% of Medicare)
Ins. Median: $142 (133% 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
Ms Work Comp $43 40%
Medicaid / KanCare $81 - $129 76%
UnitedHealthcare $81 - $241 76%
Magnolia Mcd Ms Chip $82 77%
Caresource Truecare $83 78%
Molina Chip $88 82%
Tricare $90 84%
Veterans Eval Services $91 85%
Humana $93 87%
Medicare (plans) $93 87%
Node Shared Health Of Ms Mcr Adv $93 87%
Node Vantage Health Mcr Adv $93 87%
Node Windsor Mcr Adv $93 87%
Node Champva $94 88%
Node Va $94 88%
Node Devoted Health Mcr Adv $95 89%
Node First Choice American Health Of Ms Mcr Adv $95 89%
Node Molina Mcr Adv $95 89%
Aetna $96 - $592 90%
Node First Choice Wellcare Mcr Adv $96 90%
Node Healthy Mississippi Mcr Adv $104 97%
Node Us Dept Of Labor $118 110%
First Choice Preferred $142 133%
Occunet $142 133%
Node First Choice Seven Corners $160 150%
Magnolia Exchange $165 154%
Molina Exchange $171 160%
Cigna $184 172%
Self Pay $186 174%
First Choice Lgp $206 193%
Vantage Health $212 198%
Advanced Health Systems $242 227%
Trimed Billing Solutions $254 238%
Blue Cross Blue Shield $312 292%
State Hospital $321 301%
First Choice Mpcn $380 356%
First Choice Standard $389 364%
Coventry First Health $439 411%
First Choice Ppo Plus $465 435%
Benefit Management Systems $608 - $718 569%
First Choice Stratose $676 633%
Health Choice Of Mississippi $676 633%
Prime Health Services $676 633%
Mississippi Department Of Rehabilitation Services $845 791%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals