CMS Price Transparency Data

X-ray, pelvis

Facility: Holmes County Hospital and Clinics

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $173
Cash Discount Price: $92
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Holmes County Hospital and Clinics is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.62x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$173

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: $92 (86%)

Insurance Median: $173 (162%)

Cash: $92 (86% of Medicare)

Ins. Median: $173 (162% 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
Ms-Can-Molina-Lex	$83	78%
Ms-Can-Magnolia-Lex	$84	79%
Ms-Can-Truecare-Lex	$85	80%
Cigna	$133	125%
Tricare	$141	132%
Humana	$144	135%
Mpcn-Lex	$150	140%
Medadv_Uhc-Lex	$156	146%
Firstchoice-Lex	$161	151%
Ambetter / Centene	$172	161%
Medadv_Primewell-Lex	$172	161%
Medicare (plans)	$172	161%
Primewell-Lex	$172	161%
United-Lex	$172	161%
Va_Ccn-Lex	$172	161%
United-Options-Lex	$173	162%
Medadv_Uhcdsnp-Lex	$178	167%
Molina-Chip-Lex	$178	167%
Wellcare-Lex	$178	167%
Ppoplus	$179	168%
Devoted_Health-Lex	$181	169%
Magnolia-Chip-Lex	$182	170%
Truecare-Chip-Lex	$182	170%
Firsthealth-Lex	$184	172%
Multiplan-Lex	$184	172%
Aetna	$196	184%
Phcs-Lex	$207	194%
Advhealth-Lex	$230	215%
Blue Cross Blue Shield	$230	215%
Molina_Exchange-Lex	$230	215%

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 $92.
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 Holmes County Hospital and Clinics 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.