CMS Price Transparency Data

X-ray, pelvis

Facility: Caromont Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $134
  • Cash Discount Price: $476
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Caromont Regional Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $476. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$476

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $476 (446%)
Insurance Median: $134 (125%)
Cash: $476 (446% of Medicare)
Ins. Median: $134 (125% 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
Blue Cross Blue Shield $72 - $157 67%
Carolina Complete Health $72 67%
Partners Behavioral Health $72 67%
Alliance Behavioral Health $73 68%
Amerihealth Caritas $73 68%
Carolina Complete Health Tailored Plans $73 68%
UnitedHealthcare $73 - $179 68%
Vaya Behavioral Health $73 68%
Wellcare $73 68%
Cigna $94 - $199 88%
Aetna $111 - $154 104%
Devoted Health $112 105%
Healthteam $112 105%
Longevity Health $112 105%
Molina $112 - $134 105%
Humana $114 - $419 107%
Absolute Total Care $134 125%
Gaston County Jail $143 134%
Surgery Plus $187 175%
Carolina Caring $267 - $377 250%
Corporate Benefits Service $287 269%
Medcost $324 303%
Beech Street $390 365%
Multiplan $390 365%
Self Pay $428 401%
First Health Network $452 423%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals