CMS Price Transparency Data

X-ray, pelvis

Facility: Albany Medical Center Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $22
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Albany Medical Center Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.21x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $54 (51%)
Insurance Median: $22 (21%)
Cash: $54 (51% of Medicare)
Ins. Median: $22 (21% 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
Cdphp $5 - $126 5%
Blue Cross Blue Shield $6 - $126 6%
Fidelis $6 - $215 6%
Medicare (plans) $6 - $30 6%
Hamaspik $7 - $171 7%
Medicaid / KanCare $7 - $25 7%
Tricare $7 - $26 7%
Aetna $8 - $83 7%
Blue Shield Highmark $8 - $78 7%
Mvp $8 - $120 7%
UnitedHealthcare $8 - $347 7%
Emblem Health Ghi $9 - $57 8%
Nascentia $9 - $29 8%
Cigna $12 - $47 11%
Blue Shield $19 - $55 18%
Nys Department Of Corrections $19 - $71 18%
Nascentia Health Options $40 37%
Emblem $41 - $67 38%
Mvp Commercial $65 61%
Emblem_Ghi $67 63%
Magnacare $68 64%
Empire Plan Nyship $86 - $347 81%
Multiplan $91 - $369 85%
Mvp Essential Plan $111 104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals