CMS Price Transparency Data

X-ray, pelvis

Facility: Novant Health Mint Hill Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $181
Cash Discount Price: $233
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Novant Health Mint Hill Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 8201 Healthcare Loop, Charlotte, NC.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

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: $233 (218%)

Insurance Median: $181 (169%)

Cash: $233 (218% of Medicare)

Ins. Median: $181 (169% 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 - $274	22%
Humana	$102 - $335	95%
Pace Of The Southern Piedmont	$102	95%
UnitedHealthcare	$102 - $272	95%
Aetna	$104 - $372	97%
Cigna	$105 - $239	98%
Liberty Health	$107	100%
Caresource North Carolina	$153	143%
Carolina Complete	$179	168%
Nc Department Of Public Safety	$179 - $203	168%
Amerihealth	$183	171%
Wellcare	$183	171%
Atlantic Corporation Dba Atlantic Packaging	$214	200%
Amps	$256	240%
Plotkin Health	$279	261%
Medcost	$330 - $349	309%
Primary Physician Care	$344	322%
Multiplan	$349	327%
Phcs	$349	327%
Employers Choice Network	$451	422%
Three Rivers Provider Network	$451	422%

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 $233.
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 Mint Hill 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.