CMS Price Transparency Data

X-ray, pelvis

Facility: Cleveland Clinic

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $66
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Cleveland Clinic is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.62x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $441 (413%)
Insurance Median: $66 (62%)
Cash: $441 (413% of Medicare)
Ins. Median: $66 (62% 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
Summacare $5 - $324 5%
Aetna $8 - $753 7%
Blue Cross Blue Shield $8 - $577 7%
Cigna $8 - $602 7%
Communicare $8 - $104 7%
Devoted Health $8 - $99 7%
Humana $8 - $577 7%
The Health Plan $8 - $414 7%
United $8 - $245 7%
UnitedHealthcare $8 - $482 7%
Upmc $8 - $452 7%
Valor $8 - $99 7%
Perennial Health $9 - $106 8%
Pphp $9 - $108 8%
Zing Health $9 - $108 8%
Cc Ehp $15 - $424 14%
Oscar $20 - $261 19%
Paramount $21 - $61 20%
Buckeye $22 - $62 21%
Caresource $22 - $59 21%
Amerihealth $23 22%
Molina $23 - $62 22%
Mmo $26 - $527 24%
Ohcp $29 - $330 27%
Ohio Healthy $30 - $475 28%
Aultcare $32 - $333 30%
Amish Community Aid Plan $33 - $340 31%
Omas $37 - $376 35%
Healthsmart $41 - $414 38%
Phphi $44 - $452 41%
Clarity Health $48 - $489 45%
Gms $52 - $527 49%
Quality Care Partners $52 - $527 49%
Consociate Health $56 - $565 52%
United Bh $65 61%
Multiplan $67 - $678 63%
Three Rivers $67 - $678 63%
Usa Managed Care $67 - $678 63%
Php $407 381%
Medical Benefit Corp $475 445%
Parkview Health Plan $475 445%
Community Health Alliance $543 508%
Frontpath $611 572%
Managed Care Services $611 572%
Tertiary Care Network $611 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals