CMS Price Transparency Data

X-ray, pelvis

Facility: Mary Lanning Healthcare

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $92
  • Cash Discount Price: $253
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Mary Lanning Healthcare is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.86x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.
Cash / Self-Pay
$253

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $253 (237%)
Insurance Median: $92 (86%)
Cash: $253 (237% of Medicare)
Ins. Median: $92 (86% 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
Tricare $7 - $102 7%
Aetna $8 - $414 7%
Blue Cross Blue Shield $8 - $470 7%
Medica Mcr Adv $8 - $109 7%
Ne Total Care Mcr Adv $8 - $109 7%
UnitedHealthcare $8 - $447 7%
Va Ccn - All Plans $8 - $109 7%
Consociate Inc-All Plans $12 - $395 11%
Ambetter / Centene $13 - $489 12%
Medica-All Other Plans $14 - $409 13%
Nhn/Mna-All Plans $15 - $381 14%
Midlands Choice-All Plans $20 - $423 19%
Workers Compensation-All Plans $73 - $461 68%
Multiplan-All Plans $83 - $447 78%
Provider Network Of America-All Plans $83 - $423 78%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 N St Joseph Ave, Hastings, NE 68901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals