CMS Price Transparency Data

X-ray, pelvis

Facility: Jacobi Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $82
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Jacobi Medical Center is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.77x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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%)
Insurance Median: $82 (77%)
Ins. Median: $82 (77% 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
Aetna $7 - $1,131 7%
Healthfirst $7 - $185 7%
Amidacare $9 - $82 8%
Emblem $9 - $111 8%
Wellcare $10 - $35 9%
Metroplus $12 - $185 11%
Fidelis $13 - $185 12%
Oscar $14 - $189 13%
Blue Cross Blue Shield $20 - $331 19%
Cigna $48 - $310 45%
Oxford $67 - $248 63%
United $67 - $331 63%
Carelon $82 - $269 77%
Senior Whole Health $82 77%
United Behavioral Health $82 - $90 77%
Affinity $84 - $185 79%
Carelon (Amida Care) $84 79%
Vnsny $84 - $351 79%
Elderplan $126 - $269 118%
Vaccn $126 118%
Centers Plan For Healthy Living $131 123%
Centerlight $207 194%
Magnacare $310 290%
Multiplan $331 310%
Local 1199 $351 329%
Villagecare Max $351 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals