CMS Price Transparency Data

X-ray, pelvis

Facility: Uh St John Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $193
  • Cash Discount Price: $289
  • vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Uh St John Medical Center is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.81x the Medicare baseline. Located in 29000 Center Ridge Road, Westlake, OH.
Cash / Self-Pay
$289

Average discount available for prompt cash payment at this facility.

Insurance Median
$193

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: $289 (271%)
Insurance Median: $193 (181%)
Cash: $289 (271% of Medicare)
Ins. Median: $193 (181% 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 $52 - $175 49%
Blue Cross Blue Shield $99 - $217 93%
Cigna $99 - $216 93%
Devoted Health $99 93%
Humana $99 93%
Molina $99 93%
Primetime Health Plan $99 93%
Summacare $99 - $196 93%
The Health Plan $99 - $254 93%
UnitedHealthcare $99 - $197 93%
Wellcare By Allwell $99 93%
Paramount $102 95%
Perennial Advantage Of Ohio $104 97%
Valor Health Plans $104 97%
Medical Mutual Of Ohio $105 - $163 98%
University Health Employee Plan (Contigo) $161 151%
Ambetter / Centene $177 166%
Amish Aid Community Plan $177 166%
Amish Church Fund And Workers Aid Plan $177 166%
Buckeye Plain Ministries $177 166%
Caresource $177 166%
Jp Farley $181 169%
Clarity $185 173%
Christian Healthcare Ministries $192 180%
Immergrun $192 180%
Sunrise Plan Communities $192 180%
Aultcare $212 198%
Healthsmart $250 234%
Ohio Health Choice $250 - $346 234%
Medical Mutual Traditional/Health Ohio $270 253%
Beech Street $308 - $346 288%
Ohio Preferred Network $308 - $346 288%
First Health $320 300%
Century Health Network $327 306%
Private Healthcare System $331 310%
Configurenet $346 324%
Fortified Provider Network $346 324%
Multiplan $346 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29000 Center Ridge Road, Westlake, OH 44145
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals