CMS Price Transparency Data

X-ray, pelvis

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $270
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.53x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Arthur G James Cancer Hospital and Research Institute is $270. 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 2.53x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$270

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: $270 (253%)

Ins. Median: $270 (253% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 253% of the Medicare baseline (a markup of 153%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Healthspan	$102 - $5,413	95%
Medigold	$102	95%
Upper Ohio Valley	$102 - $5,413	95%
Medicare (plans)	$103 - $5,467	96%
Humana	$104 - $5,521	97%
Medicaid / KanCare	$118 - $162	110%
Aetna	$124 - $5,388	116%
United	$130 - $424	122%
Caresource	$154 - $230	144%
Mmo	$154 - $394	144%
Molina	$154 - $5,388	144%
Odrc	$162 - $189	152%
Blue Cross Blue Shield	$171 - $442	160%
Buckeye Community	$172 - $228	161%
Amerihealth	$173 - $251	162%
Osu Health Plan	$213 - $308	199%
Lifetrac	$303 - $317	284%
Ohio Ppo	$306	286%
Ohiohealth	$336 - $340	315%
Cigna	$338 - $580	316%
Frontpath	$373	349%
Healthsmart	$419	392%
Multiplan	$433	405%
Ohio Dept Of Health	$4,289	4016%

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 $X.
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 Arthur G James Cancer Hospital and Research Institute 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.