CMS Price Transparency Data

X-ray, pelvis

Facility: Boys Town National Research Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $327
  • Cash Discount Price: $351
  • vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Boys Town National Research Hospital is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $351. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.06x the Medicare baseline. Located in 14000 Boys Town Hospital Road, Boys Town, NE.
Cash / Self-Pay
$351

Average discount available for prompt cash payment at this facility.

Insurance Median
$327

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: $351 (329%)
Insurance Median: $327 (306%)
Cash: $351 (329% of Medicare)
Ins. Median: $327 (306% 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 306% of the Medicare baseline (a markup of 206%). 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 $93 87%
Molina Of Nebraska $114 107%
Nebraska Total Care $114 107%
UnitedHealthcare $114 - $241 107%
Medica $220 - $351 206%
Elap Omaha Firefighters $241 226%
Nfm Paramount $241 - $351 226%
Aetna $325 304%
First Health $325 304%
Methodist $329 308%
Blue Cross Blue Shield $351 - $426 329%
Health Partners $351 329%
Midlands Choice $351 329%
Phcs-Multiplan $351 - $373 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14000 Boys Town Hospital Road, Boys Town, NE 68010
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens