CMS Price Transparency Data

X-ray, pelvis

Facility: Wakemed, Raleigh Campus

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $148
Cash Discount Price: $155
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Wakemed, Raleigh Campus is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.39x the Medicare baseline. Located in 3000 New Bern Ave, Raleigh, NC.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $155 (145%)

Insurance Median: $148 (139%)

Cash: $155 (145% of Medicare)

Ins. Median: $148 (139% 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
Blue Cross Blue Shield	$25 - $203	23%
Ambetter / Centene	$39 - $148	37%
Amerihealth	$73	68%
Carolina Complete	$73	68%
Wellcare	$73 - $103	68%
Aetna	$103 - $861	96%
Liberty	$105	98%
Pruitt	$105	98%
Alignment	$108	101%
Cigna	$118 - $208	110%
First Health	$188 - $359	176%
Medcost	$294 - $306	275%
Phcs	$326	305%
Multiplan	$367	344%

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 $155.
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 Wakemed, Raleigh Campus 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.