CMS Price Transparency Data

X-ray, pelvis

Facility: Mercy Health Rehabilitation Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $199
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Mercy Health Rehabilitation Hospital is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.86x the Medicare baseline. Located in 3180 Belmont Ave, Youngstown, OH.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$199

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: $199 (186%)
Insurance Median: $199 (186%)
Cash: $199 (186% of Medicare)
Ins. Median: $199 (186% 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
Medical Mutual Nas $109 102%
Aultcare $136 127%
Multiplan $168 157%
Aetna $199 186%
Ambetter / Centene $199 186%
Blue Cross Blue Shield $199 186%
Caresource Exchange $199 186%
Cigna $199 186%
Devoted $199 186%
Highmark Ppo Commercial $199 186%
Highmark Ppo Exchange $199 186%
Humana $199 186%
Medicaid / KanCare $199 186%
Medical Mutual Exchange $199 186%
Medical Mutual Medflex $199 186%
Medical Mutual New Biz $199 186%
Medical Mutual Supermed Commercial $199 186%
Medical Mutual Traditional Commercial $199 186%
Medicare (plans) $199 186%
Molina Exchange $199 186%
UnitedHealthcare $199 186%
Upmc $199 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3180 Belmont Ave, Youngstown, OH 44505
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL