CMS Price Transparency Data

X-ray, pelvis

Facility: Harlem Hospital Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $73
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Harlem Hospital Center is $73. 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 0.68x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $73 (68%)
Ins. Median: $73 (68% 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 - $161 7%
Amidacare $9 - $71 8%
Emblem $9 - $96 8%
Wellcare $10 - $34 9%
Metroplus $12 - $161 11%
Fidelis $13 - $179 12%
Oscar $14 - $189 13%
Cigna $48 - $249 45%
Oxford $67 - $199 63%
United $67 - $266 63%
Blue Cross Blue Shield $71 - $266 66%
Carelon $71 - $216 66%
Senior Whole Health $71 66%
United Behavioral Health $71 - $79 66%
Affinity $73 - $161 68%
Carelon (Amida Care) $73 68%
Vnsny $73 - $283 68%
Elderplan $126 - $216 118%
Vaccn $126 118%
Centers Plan For Healthy Living $131 123%
Centerlight $166 155%
Magnacare $249 233%
Multiplan $266 249%
Local 1199 $283 265%
Villagecare Max $283 265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals