CMS Price Transparency Data

X-ray, pelvis

Facility: Columbia Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $25
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Columbia Memorial Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.23x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $86 (81%)
Insurance Median: $25 (23%)
Cash: $86 (81% of Medicare)
Ins. Median: $25 (23% 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
UnitedHealthcare $3 - $178 3%
Blue Cross Blue Shield $6 - $96 6%
Cdphp $6 - $126 6%
Medicare (plans) $6 - $30 6%
Mvp $6 - $109 6%
Medicaid / KanCare $7 - $52 7%
Tricare $7 - $30 7%
Emblem Health Ghi $8 - $28 7%
Fidelis $8 - $132 7%
Hamaspik $8 - $70 7%
Aetna $9 - $130 8%
Blue Shield Highmark $9 - $32 8%
Cigna $11 - $39 10%
Emblem $41 - $68 38%
Blue Shield $54 - $183 51%
Empire Plan Nyship $54 51%
Magnacare $54 51%
Multiplan $77 - $447 72%
Mvp Commercial $77 72%
Herrington Diversified Pdh $86 - $189 81%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Prospect Avenue, Hudson, NY 12534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals