CMS Price Transparency Data

X-ray, pelvis

Facility: Montefiore St Luke's Cornwall

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $131
Cash Discount Price: $131
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Montefiore St Luke's Cornwall is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.23x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $131 (123%)

Insurance Median: $131 (123%)

Cash: $131 (123% of Medicare)

Ins. Median: $131 (123% 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
Affinity	$13 - $137	12%
Emblem	$13 - $498	12%
Healthfirst	$13 - $130	12%
Medicaid / KanCare	$13	12%
Aetna	$36 - $129	34%
Geha	$40	37%
Meritain Health	$40	37%
Nippon Life Insurance	$40	37%
Fidelis	$104 - $151	97%
Mediblue	$127	119%
Blue Cross Blue Shield	$130 - $273	122%
Cdphp	$130	122%
Hudson Valley	$130	122%
Oscar	$130 - $206	122%
Point Comfort	$130	122%
UnitedHealthcare	$130 - $174	122%
Villagecaremax	$130	122%
Vnsny Choice	$130	122%
Centerlight	$134	125%
Wellcare	$134	125%
Hamaspik	$141	132%
Humana	$144	135%
Cigna	$170 - $188	159%
American Postal Workers	$174	163%
Mvp	$339	317%
Northwell	$351	329%
Centivo	$392	367%
Seiu1199	$466	436%

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 $131.
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 Montefiore St Luke's Cornwall 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.