CMS Price Transparency Data

X-ray, pelvis

Facility: Carolinas Medical Center-Northeast

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $92
  • Cash Discount Price: $201
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Carolinas Medical Center-Northeast is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.86x the Medicare baseline. Located in 920 Church St N, Concord, NC.
Cash / Self-Pay
$201

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $201 (188%)
Insurance Median: $92 (86%)
Cash: $201 (188% of Medicare)
Ins. Median: $92 (86% 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
Alliance $7 - $51 7%
Amerihealth Caritas $7 - $49 7%
Carolina Complete Health $7 - $50 7%
Healthy Blue $7 - $50 7%
Partners $7 - $51 7%
Trillium $7 - $52 7%
UnitedHealthcare $7 - $178 7%
Vaya $7 - $51 7%
Wellcare $7 - $50 7%
Aetna $8 - $245 7%
Cigna $8 - $322 7%
Humana $8 - $103 7%
Ortho Carolina $10 - $126 9%
Blue Cross Blue Shield $47 - $144 44%
Choicecare $55 - $330 51%
Medcost $81 - $301 76%
Ambetter / Centene $117 - $146 110%
Employers Health Network $178 167%
Physician Reach Out $201 188%
Magellan $241 226%
Gmmi $261 244%
Quik Trip $261 244%
Carolina Behavioral Health $289 - $322 271%
Healthgram $322 301%
Private Health Care Systems $322 301%
Lifesynch Community Choice Care $330 309%
First Health $342 320%
Beechstreet $362 339%
Multiplan $382 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 920 Church St N, Concord, NC 28025
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals