CMS Price Transparency Data

X-ray, pelvis

Facility: Elizabethtown Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $35
Cash Discount Price: $276
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Elizabethtown Community Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $276. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.33x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$276

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $276 (258%)

Insurance Median: $35 (33%)

Cash: $276 (258% of Medicare)

Ins. Median: $35 (33% 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	$18 - $395	17%
Capital District Physicians' Health Plan	$18 - $432	17%
Fidelis Care	$18 - $200	17%
UnitedHealthcare	$18 - $484	17%
Harvard Pilgrim	$20 - $421	19%
Magnacare	$20 - $421	19%
Coventry	$21 - $447	20%
Multiplan	$22 - $473	21%
Mvp	$22 - $411	21%
Humana	$25 - $101	23%
Aetna	$26 - $394	24%
Martins Point	$26 - $200	24%
Veterans Affairs Community Care Network	$26 - $200	24%
Choicecare	$29 - $421	27%
Highmark Blueshield	$32 - $429	30%
Wellpath	$36 - $300	34%
Emblem Health	$421	394%

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 $276.
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 Elizabethtown Community Hospital 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.