CMS Price Transparency Data

X-ray, pelvis

Facility: Maimonides Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $9
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 0.08x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Maimonides Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.08x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $85 (80%)
Insurance Median: $9 (8%)
Cash: $85 (80% of Medicare)
Ins. Median: $9 (8% 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
Fidelis $4 - $9 4%
Blue Cross Blue Shield $5 - $79 5%
Emblem Health - Hip $5 - $25 5%
United Community Plan $5 - $144 5%
UnitedHealthcare $5 - $172 5%
Healthfirst $6 - $128 6%
Aetna $7 - $130 7%
Centers Plan For Healthy Living $7 - $9 7%
Healthfirst Early Start $7 7%
Metroplus $7 - $157 7%
Mvp Health $7 7%
Villagecare Maxx Fida $7 - $9 7%
Visiting Nurse Svc Of Ny $7 - $9 7%
Wellcare $7 - $9 7%
Cigna $8 - $46 7%
Emblem Health - Ghi $8 - $397 7%
Elderplan $9 8%
Emblem Health - Hip Vip $9 8%
Molina $9 8%
Oxford Health Plan $9 - $172 8%
Hamaspik $10 9%
Local 1199 $11 - $27 10%
Magnacare $11 10%
Oxford Liberty $13 - $172 12%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals