CMS Price Transparency Data

X-ray, pelvis

Facility: The University of Vermont Health Network - Champl

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $26
Cash Discount Price: $296
vs. Medicare Baseline: 0.24x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at The University of Vermont Health Network - Champl is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $296. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.24x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$296

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $296 (277%)

Insurance Median: $26 (24%)

Cash: $296 (277% of Medicare)

Ins. Median: $26 (24% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$5 - $617	5%
UnitedHealthcare	$6 - $434	6%
Mvp	$7 - $453	7%
Aetna	$8 - $406	7%
Capital District Physicians' Health Plan	$8 - $449	7%
Fidelis Care	$8 - $130	7%
Humana	$8 - $123	7%
Martins Point	$8 - $139	7%
Veterans Affairs Community Care Network	$8 - $130	7%
Highmark Blueshield	$10 - $450	9%
Wellpath	$11 - $195	10%
Harvard Pilgrim	$18 - $455	17%
Magnacare	$18 - $455	17%
St. Regis	$18 - $130	17%
Coventry	$21 - $512	20%
Multiplan	$22 - $541	21%
Emblem Health	$455	426%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $296.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The University of Vermont Health Network - Champl is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.