CMS Price Transparency Data

X-ray, pelvis

Facility: Queens Hospital Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $71
  • Cash Discount Price: $127
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Queens Hospital Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.66x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
$127

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $127 (119%)
Insurance Median: $71 (66%)
Cash: $127 (119% of Medicare)
Ins. Median: $71 (66% 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 - $160 7%
Amidacare $9 - $71 8%
Emblem $9 - $189 8%
Wellcare $10 - $34 9%
Metroplus $12 - $160 11%
United $12 - $331 11%
Fidelis $13 - $179 12%
Oscar $14 - $189 13%
Blue Cross Blue Shield $21 - $331 20%
Affinity $28 - $160 26%
Centerlight $32 - $207 30%
Elderplan $32 - $269 30%
Centers Plan For Healthy Living $33 - $131 31%
Hamaspik $34 32%
Local 1199 $37 - $351 35%
Cigna $48 - $310 45%
Oxford $67 - $248 63%
Carelon $71 - $269 66%
Senior Whole Health $71 66%
United Behavioral Health $71 - $78 66%
Carelon (Amida Care) $73 68%
Vnsny $73 - $351 68%
Vaccn $126 118%
Magnacare $310 290%
Multiplan $331 310%
Villagecare Max $351 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals