CMS Price Transparency Data

X-ray, pelvis

Facility: Hillcrest Hospital Pryor

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $351
Cash Discount Price: $197
vs. Medicare Baseline: 3.29x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Hillcrest Hospital Pryor is $351. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.29x the Medicare baseline. Located in 111 North Bailey Street, Pryor, OK.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$351

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: $197 (184%)

Insurance Median: $351 (329%)

Cash: $197 (184% of Medicare)

Ins. Median: $351 (329% 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 329% of the Medicare baseline (a markup of 229%). 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
Black Lung [6055]	$164	154%
Healthcare Highways [2210]	$164 - $427	154%
Hooray Health [8000]	$164	154%
Lucent Health [6000]	$164	154%
Oncology Patient Assistance Programs [2295]	$164	154%
Oscar Insurance Company [7005]	$164	154%
Osma Health Network [2345]	$164	154%
Healthscope Benefits [2290]	$201	188%
UnitedHealthcare	$201	188%
Aetna	$288	270%
Allied Benefit Systems Inc [1030]	$288	270%
Coresource [1315]	$288	270%
Coventry Healthcare [1320]	$288	270%
Meritain Health [1655]	$288	270%
The Kempton Group Administrators [2905]	$296	277%
Beacon Health Options Behavioral Health [2890]	$407	381%
Global Health [1430]	$407	381%
Resource One Administrators [2815]	$427	400%
Universal Fidelity [2085]	$427	400%
Web Tpa [2115]	$427	400%
First Health [1375]	$485	454%
Medica [2910]	$485	454%
Multiplan [1680]	$485	454%
Cigna	$541	507%
Healthpartners [1500]	$541	507%
Pba [1775]	$541	507%
Pending Ssi [1616]	$657	615%

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 $197.
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 Hillcrest Hospital Pryor 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.