CMS Price Transparency Data

X-ray, pelvis

Facility: Akron Children's Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $44
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Akron Children's Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.41x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $26 (24%)
Insurance Median: $44 (41%)
Cash: $26 (24% of Medicare)
Ins. Median: $44 (41% 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 $8 - $339 7%
Amerihealth Caritas Ohio $8 - $81 7%
Blue Cross Blue Shield $8 - $390 7%
Buckeye Community Health Plan $8 - $79 7%
Caresource $8 - $77 7%
Humana $8 - $366 7%
Molina $8 - $79 7%
UnitedHealthcare $8 - $339 7%
Mmo $13 - $388 12%
Autlcare $25 - $311 23%
Summacare $26 - $323 24%
Cigna $34 - $340 32%
Cenpatico $79 74%
Healthplan (Hometown) $134 125%
Northern Ohio Handicapped Fund (Nohf $142 133%
Ohio Crippled Childrens Fund (Occf $142 133%
Amish Church Fund $197 184%
Medben $299 280%
Summa Health Employee $307 287%
Summacare Preferred Choice Network $310 290%
The Health Plan (Mountaineer Region) $317 297%
Avita-Osu Health Plan $323 302%
The Health Plan (Fna Hometown Health Network) $331 310%
Healthsmart (Fna Emerald Health Network) $345 323%
Embs/Thomas Steel $347 325%
Ohio Health Choice $347 325%
Phcs/Multiplan $347 325%
Enterprise Group Planning $355 332%
Prime Health Services $355 332%
Primenet $355 332%
Quality Care Partners $355 332%
Beechstreet $366 343%
Ohio Preferred Network $366 343%
Paramount $366 343%
Cofinity $370 346%
Health Reach Ohio Health Group $370 346%
Direct Care America $374 350%
First Health Network $374 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens