CMS Price Transparency Data

X-ray, pelvis

Facility: Parkland Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $273
  • Cash Discount Price: $607
  • vs. Medicare Baseline: 2.56x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Parkland Medical Center is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $607. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.56x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.
Cash / Self-Pay
$607

Average discount available for prompt cash payment at this facility.

Insurance Median
$273

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: $607 (568%)
Insurance Median: $273 (256%)
Cash: $607 (568% of Medicare)
Ins. Median: $273 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
Amerihealth Caritas $19 18%
Blue Cross Blue Shield $44 - $175 41%
Well Sense Health Plan $45 42%
United $127 - $368 119%
Maine Community Health $190 - $322 178%
Harvard Pilgrim $273 - $452 256%
Tufts Health Plan $347 - $358 325%
Aetna $361 - $405 338%
Mvp Health Plan $425 398%
Corvel $437 409%
Evernorth $485 454%
Healthcare Value Mgmt $510 477%
First Health $516 483%
Oxford Health Plans $576 539%
Cigna $2,386 2234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Parkland Drive, Derry, NH 03038
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals