CMS Price Transparency Data

X-ray, pelvis

Facility: Ochsner Scott Regional

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $128
Cash Discount Price: $156
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Ochsner Scott Regional is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.20x the Medicare baseline. Located in 317 Highway 13 South, Morton, MS.

Cash / Self-Pay

$156

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $156 (146%)

Insurance Median: $128 (120%)

Cash: $156 (146% of Medicare)

Ins. Median: $128 (120% 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
Prime Health Services Ppo -Workers Comp	$56	52%
Cor Vel	$57	53%
Medicaid / KanCare	$81 - $86	76%
Humana	$90 - $124	84%
Cigna	$124 - $138	116%
Medicare (plans)	$124 - $142	116%
UnitedHealthcare	$124 - $174	116%
Ambetter / Centene	$125	117%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$125	117%
Shared Health Mississippi	$130	122%
Primewell Health Services Commercial Exchange Plan	$148	139%
Primewell Health Services – Commercial	$148	139%
Aetna	$161	151%
Select Administrative Services Network	$173	162%
Claritev D/B/A Multiplan/Phcs/American Life Care	$185	173%
Zelis	$185	173%
Prime Health Services Ppo	$198	185%
Blue Cross Blue Shield	$240 - $351	225%

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 $156.
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 Scott Regional 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.