CMS Price Transparency Data

X-ray, pelvis

Facility: Novant Health Presbyterian Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $179
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Novant Health Presbyterian Medical Center is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.68x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $202 (189%)
Insurance Median: $179 (168%)
Cash: $202 (189% of Medicare)
Ins. Median: $179 (168% 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 $24 - $274 22%
Carolina Complete $60 - $81 56%
Nc Department Of Public Safety $60 - $203 56%
Amerihealth $61 - $83 57%
UnitedHealthcare $61 - $272 57%
Wellcare $61 - $83 57%
Humana $102 - $335 95%
Pace Of The Southern Piedmont $102 95%
Aetna $104 - $372 97%
Cigna $105 - $239 98%
Liberty Health $107 100%
Caresource North Carolina $114 - $153 107%
Atlantic Corporation Dba Atlantic Packaging $158 - $214 148%
Amps $189 - $256 177%
Plotkin Health $206 - $279 193%
Medcost $244 - $349 228%
Primary Physician Care $255 - $344 239%
Multiplan $258 - $349 242%
Phcs $258 - $349 242%
Employers Choice Network $334 - $451 313%
Three Rivers Provider Network $334 - $451 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawthorne Lane Box 33549, Charlotte, NC 28233
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals