CMS Price Transparency Data

X-ray, pelvis

Facility: Carolina East Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $136
  • Cash Discount Price: $184
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Carolina East Medical Center is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.27x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.
Cash / Self-Pay
$184

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $184 (172%)
Insurance Median: $136 (127%)
Cash: $184 (172% of Medicare)
Ins. Median: $136 (127% 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
Humana $8 - $100 7%
Inclusive Health (Nchirp)-All Plans $8 - $100 7%
Tricare $8 - $462 7%
Craven Co. Jail Systems - All Plans $40 - $156 37%
Pamlico Co Jail-All Plans $40 - $123 37%
UnitedHealthcare $53 - $328 50%
Medcost Ppo Employees And Retirees $100 - $303 94%
Medcost Ppo Ultra (Employees) $100 - $289 94%
Blue Cross Blue Shield $106 - $317 99%
Medcost Ppo City Employees $111 - $337 104%
Medcost Ppo County Employee $115 - $350 108%
Benefit Mgmt, Svcs-All Plans $129 - $393 121%
Medcost Benefit Svc-All Other Plans $134 - $408 125%
Aetna $135 - $409 126%
Acs Consult Svc Inc-All Plans $137 - $417 128%
Medcost Ppo Standard $137 - $417 128%
Cigna $138 - $420 129%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals