CMS Price Transparency Data

X-ray, pelvis

Facility: Christ Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $50
Cash Discount Price: $80
vs. Medicare Baseline: 0.47x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Christ Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.47x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $80 (75%)

Insurance Median: $50 (47%)

Cash: $80 (75% of Medicare)

Ins. Median: $50 (47% 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	$14 - $326	13%
Caresource [2031]	$14 - $200	13%
Humana	$14 - $120	13%
Medicaid / KanCare	$14 - $120	13%
UnitedHealthcare	$14 - $254	13%
Aetna	$26 - $120	24%
Ambetter / Centene	$26 - $98	24%
Buckeye Community Health [2028]	$26 - $120	24%
Cigna	$26 - $200	24%
Custom Design Benefits - True Cost [3004]	$26 - $98	24%
Devoted Health Plans Oon [2250]	$26	24%
Key Benefit Administrators [2221]	$26	24%
Medical Mutual [2054]	$26 - $289	24%
Medicare (plans)	$26 - $98	24%
Meritain Health [2224]	$26 - $98	24%
Other Exchange Plan [9992]	$26 - $200	24%
Other Managed Care [9991]	$26	24%
Tricare	$26	24%
United Medical Resources [2104]	$26 - $254	24%
Wc Three Hab [2130]	$26	24%
Wc Sheakley Unicomp [2129]	$28	26%
Kentucky Passport/Molina [2097]	$50	47%
Wellcare Of Kentucky [2191]	$50	47%
Ohio Health Choice [2062]	$96	90%
Allied Benefits [2163]	$98	92%
Buckeye Mycare Dual [2171]	$98	92%
First Health [2041]	$98	92%
Medben [2222]	$98	92%
Medigold Ppo [2204]	$98	92%
Meridian [2185]	$98	92%
Perennial [4200]	$98	92%
Poppins Health [2299]	$98	92%
Nalc [2178]	$106	99%
Priority Health [2225]	$106	99%
Amerihealth Caritas [2230]	$120	112%
Life Synch [2080]	$120	112%
Multiplan/Phcs [2059]	$146	137%
Bccp [3079]	$200	187%
Healthcare Highways [2298]	$200	187%
Sagamore Health Network [2066]	$200	187%
Suburban Health [2408]	$200	187%
Geha [2168]	$254	238%
Golden Rule [2161]	$254	238%
Western And Southern [2076]	$289	271%

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 $80.
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 Christ 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.