CMS Price Transparency Data

X-ray, pelvis

Facility: Angel Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $252
  • Cash Discount Price: $652
  • vs. Medicare Baseline: 2.36x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Angel Medical Center is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $652. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.36x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.
Cash / Self-Pay
$652

Average discount available for prompt cash payment at this facility.

Insurance Median
$252

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: $652 (610%)
Insurance Median: $252 (236%)
Cash: $652 (610% of Medicare)
Ins. Median: $252 (236% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 236% of the Medicare baseline (a markup of 136%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup $25 23%
Blue Cross Blue Shield $111 - $117 104%
United $118 - $293 110%
Wellcare $120 112%
Amerihealth $121 113%
Partners Health Management $122 114%
Vaya Health $122 114%
Apex Health $130 122%
Aetna $143 - $420 134%
Cigna $226 - $373 212%
Amerihealth Caritas $254 238%
Caresource $287 269%
Medcost $287 - $344 269%
Magellan $391 366%
Magellan Behavioral Health $391 366%
Multiplan $521 488%
Avalon Administrative Services $554 519%
Prime Health $574 - $587 537%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 124 Center Court Po Box 1209, Franklin, NC 28734
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals