CMS Price Transparency Data

X-ray, pelvis

Facility: Howard County Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $84
  • Cash Discount Price: $314
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Howard County Medical Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.79x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$314

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $314 (294%)
Insurance Median: $84 (79%)
Cash: $314 (294% of Medicare)
Ins. Median: $84 (79% 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
Aetna $8 - $298 7%
Medica Standard Premier $8 - $25 7%
Medica Elevate $15 - $50 14%
Midland'S Choice $16 - $52 15%
Humana $21 20%
Blue Cross Blue Shield $25 - $298 23%
Great Plains $25 - $179 23%
Medica Chi $25 - $179 23%
Tricare $25 - $236 23%
UnitedHealthcare $25 - $301 23%
Molina Healthcare $26 - $157 24%
Nebraska Total Care - Wellcare $26 24%
Oscar Health $44 41%
Ambetter / Centene $50 47%
Beshp $50 47%
Nebraska Total Care $157 147%
Medica Chi Aco $286 268%
Medica Choice National $286 268%
Medica Ifb Aco $301 282%
Medica Ifb Open Access $301 282%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals