CMS Price Transparency Data
X-ray, pelvis
Facility: Mount Carmel East & West
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $178
- Cash Discount Price: $359
- vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Mount Carmel East & West is $178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.67x the Medicare baseline. Located in 6001 East Broad Street, Columbus, OH.
Cash / Self-Pay
$359
Average discount available for prompt cash payment at this facility.
Insurance Median
$178
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: $359 (336%)
Insurance Median: $178 (167%)
Cash: $359 (336% of Medicare)
Ins. Median: $178 (167% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $87 - $104 | 81% |
| Aetna | $97 - $381 | 91% |
| Blue Cross Blue Shield | $97 - $381 | 91% |
| Hospice Mount Carmel | $99 | 93% |
| Oscar | $99 | 93% |
| UnitedHealthcare | $99 - $324 | 93% |
| The Health Plan | $101 - $250 | 95% |
| American Postal Workers Secondary | $132 | 124% |
| Cigna | $132 | 124% |
| Health Partners | $132 | 124% |
| Healthgram | $132 | 124% |
| Mvp | $132 | 124% |
| Priority Health | $132 | 124% |
| Geha | $171 - $324 | 160% |
| Gravie Admin Services | $171 | 160% |
| Healthez | $171 | 160% |
| Meritain | $171 | 160% |
| Webtpa | $171 | 160% |
| Access Health | $178 | 167% |
| Acclaim | $178 | 167% |
| Administrative Concepts | $178 | 167% |
| Allegeant | $178 | 167% |
| Allied Benefit Systems | $178 | 167% |
| American Family | $178 | 167% |
| American Healthcare Alliance | $178 | 167% |
| American National | $178 | 167% |
| American Republic | $178 | 167% |
| Amerihealth | $178 | 167% |
| Aultcare | $178 | 167% |
| Automated Benefit Services | $178 | 167% |
| Auxiant | $178 | 167% |
| Benefit Administrative Systems,Llc | $178 | 167% |
| Boon Chapman | $178 | 167% |
| Cam Administrative Services | $178 | 167% |
| Christian Brother Services | $178 | 167% |
| Christian Brothers Holy Cross | $178 | 167% |
| Claimchoice Adminstrators | $178 | 167% |
| Comprehensive Benefits | $178 | 167% |
| Continental Life Insurance | $178 | 167% |
| Coventry | $178 | 167% |
| Custom Benefit Administrators | $178 | 167% |
| Cypress Benefit Administrators | $178 | 167% |
| Employee Benefit Concepts | $178 | 167% |
| Employee Benefit Management | $178 | 167% |
| Forest County Potawatomi | $178 | 167% |
| Freedom Life Insurance Company | $178 | 167% |
| Group Administrators | $178 | 167% |
| Group Marketing Services | $178 | 167% |
| Group Pension Administrators | $178 | 167% |
| Guardian | $178 | 167% |
| Health America | $178 | 167% |
| Health Choices | $178 | 167% |
| Healthcare Management Admin | $178 | 167% |
| Insight | $178 | 167% |
| Intercare | $178 | 167% |
| Jfp Benefit Management | $178 | 167% |
| Jp Farley Corporation | $178 | 167% |
| Key Benefit Administrator | $178 | 167% |
| Liberty Union Life Assurance Co | $178 | 167% |
| Lucent Health | $178 | 167% |
| Luminare Health | $178 | 167% |
| Magnacare | $178 | 167% |
| Medcost | $178 | 167% |
| Mutual Health Services | $178 | 167% |
| Mutual Of Omaha | $178 | 167% |
| Ncas | $178 | 167% |
| Nippon Life Ins | $178 | 167% |
| Nova | $178 | 167% |
| Painters Union Insurance Fund | $178 | 167% |
| Physicians Mutual | $178 | 167% |
| Plumbers Local 98 Insurance Fund | $178 | 167% |
| Prairie States | $178 | 167% |
| Preferred One | $178 | 167% |
| Primary Physician Care | $178 | 167% |
| Professional Benefit Administrators | $178 | 167% |
| Secureone Preferred United Plans | $178 | 167% |
| Siho Insurance Services | $178 | 167% |
| Sisco Benefits | $178 | 167% |
| The Loomis Company | $178 | 167% |
| Trustmark Small Business Benefits | $178 | 167% |
| U Of M Health Plan | $178 | 167% |
| Unicare | $178 | 167% |
| Unified Group Services | $178 | 167% |
| Us Health And Life | $178 | 167% |
| Valenz | $178 | 167% |
| Varipro | $178 | 167% |
| Wps | $178 | 167% |
| Rural Carrier Health Benefit Plan | $179 | 168% |
| Enterprise Group Planning | $191 | 179% |
| Humana | $195 - $381 | 183% |
| First Health | $201 | 188% |
| Custom Design Benefits | $207 | 194% |
| Quality Care Partners | $224 | 210% |
| Medben | $229 - $286 | 214% |
| Consociate | $233 | 218% |
| Health Ohio Network | $233 | 218% |
| Medical Mutual | $248 - $344 | 232% |
| Caresource | $278 | 260% |
| Healthlink Inc | $286 | 268% |
| Medical Benefits Mutual | $286 | 268% |
| Ohio Health Choice | $286 | 268% |
| Ohio Ppo Connect | $286 | 268% |
| Medi Share | $304 | 285% |
| Multiplan | $304 | 285% |
| Phcs | $304 | 285% |
| Philadelphia American Life Insurance | $304 | 285% |
| Ameriben | $305 | 286% |
| Luminare Health (Detroit) | $305 | 286% |
| Ohiohealthy | $305 | 286% |
| Osu Not Independent Choice | $305 | 286% |
| Twin Valley Psychiatric | $305 | 286% |
| Health Smart | $324 | 303% |
| Western & Southern Financial Group | $344 | 322% |
| Blue Benefit Administrators Of Massachusetts | $376 | 352% |
| Blue Care Network | $376 | 352% |
| Blue Distinction Transplant | $376 | 352% |
| Blue Shield - Ca | $376 | 352% |
| Blue Shield - Id (Regence) | $376 | 352% |
| Blue Shield - Ny Highmark Northeastern | $376 | 352% |
| Blue Shield - Ny Highmark Western | $376 | 352% |
| Blue Shield - Pa (Highmark) | $376 | 352% |
| Blue Shield - Wa (Regence) | $376 | 352% |
| Bccp | $381 | 357% |
| Medicaid / KanCare | $381 | 357% |
| Optima Health | $381 | 357% |
| Crime Victim Assistance | $632 | 592% |
| Ohio Safe Program | $632 | 592% |