CMS Price Transparency Data

X-ray, pelvis

Facility: Incline Village Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $76
Cash Discount Price: $298
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Incline Village Community Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.71x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$298

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $298 (279%)

Insurance Median: $76 (71%)

Cash: $298 (279% of Medicare)

Ins. Median: $76 (71% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicare (plans)	$8 - $201	7%
UnitedHealthcare	$9 - $464	8%
Healthnet - All Plans	$11 - $490	10%
Blue Cross Blue Shield	$22 - $464	21%
Ca Hlth And Wellness - All Plans	$33 - $526	31%
Aetna	$70 - $454	66%
Prominence Healthfirst - All Plans	$70 - $454	66%
Admar Multiplan - All Plans	$71 - $464	66%
First Health - All Plans	$71 - $464	66%
Great West/One Health - All Plans	$71 - $464	66%
Hometown Hp - All Plans	$71 - $464	66%
Humana	$71 - $464	66%
Interplan - All Plans	$71 - $464	66%
Multiplan - All Plans	$71 - $464	66%
Phcs - All Plans	$71 - $464	66%
Cigna	$73 - $475	68%
Beech Street/Capp Care - All Plans	$75 - $490	70%
Uhn - All Plans	$75 - $490	70%
Sierra Health - All Plans	$77 - $501	72%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $298.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Incline Village Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.