CMS Price Transparency Data

X-ray, pelvis

Facility: Ohio State University State Health System

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $210
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Ohio State University State Health System is $210. 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 1.97x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$210

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: $210 (197%)
Ins. Median: $210 (197% 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 $51 - $375 48%
Blue Cross Blue Shield $102 - $453 95%
Medicare (plans) $102 - $110 95%
Medigold $102 95%
Mmo $102 - $337 95%
Molina $102 - $170 95%
Upper Ohio Valley $102 - $308 95%
Humana $104 - $214 97%
Buckeye Community $105 - $158 98%
Caresource $107 - $158 100%
Healthspan $107 - $224 100%
Osu Health Plan $144 - $233 135%
Ohio Ppo $174 - $209 163%
Odrc $189 177%
Ohiohealth $303 - $350 284%
Lifetrac $317 297%
Cigna $347 325%
Frontpath $373 349%
Multiplan $373 349%
Healthsmart $419 392%
United $663 621%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals