CMS Price Transparency Data

X-ray, pelvis

Facility: Novant Health Brunswick Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $116
Cash Discount Price: $229
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Novant Health Brunswick Medical Center is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$229

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $229 (214%)

Insurance Median: $116 (109%)

Cash: $229 (214% of Medicare)

Ins. Median: $116 (109% 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	$24 - $285	22%
Carolina Complete	$64	60%
Nc Department Of Public Safety	$64 - $224	60%
Amerihealth	$66	62%
UnitedHealthcare	$66 - $281	62%
Wellcare	$66	62%
Humana	$112 - $394	105%
Pace Of The Southern Piedmont	$112	105%
New Hanover Health Advantage	$114	107%
Aetna	$115 - $389	108%
Cigna	$116 - $254	109%
Liberty Health	$118	110%
Caresource North Carolina	$183	171%
Atlantic Corporation Dba Atlantic Packaging	$247	231%
Ambetter / Centene	$252	236%
Amps	$252	236%
Plotkin Health	$275	257%
Medcost	$345 - $384	323%
Transformhealth	$366	343%
Multiplan	$412	386%
Phcs	$412	386%
Employers Choice Network	$444	416%
Three Rivers Provider Network	$444	416%

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 $229.
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 Novant Health Brunswick Medical Center 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.