CMS Price Transparency Data

X-ray, pelvis

Facility: Hackensack University Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $125
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Hackensack University Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.17x the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $125 (117%)
Insurance Median: $125 (117%)
Cash: $125 (117% of Medicare)
Ins. Median: $125 (117% 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
Karna $15 - $54 14%
Horizon $25 - $487 23%
Amerihealth $54 51%
Cigna $68 - $399 64%
Aetna $80 - $127 75%
Clover $90 84%
UnitedHealthcare $100 - $337 94%
Blue Cross Blue Shield $125 117%
Vaccn $125 117%
Wellcare $125 117%
United Community/Americhoice $131 123%
Seoul Medical Group $143 134%
Oxford $250 - $337 234%
Intergroup $349 327%
Bergen Risk $374 350%
Brighton Health Plan $394 369%
Lhp Health $394 369%
Activecare First McO $424 397%
Chn $424 397%
Multiplan - PHCS $424 397%
Qualcare $440 412%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 30 Prospect Ave, Hackensack, NJ 07601
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals