CMS Price Transparency Data

X-ray, pelvis

Facility: Hillcrest Hospital Cushing

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $579
Cash Discount Price: $280
vs. Medicare Baseline: 5.42x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Hillcrest Hospital Cushing is $579. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.42x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$280

Average discount available for prompt cash payment at this facility.

Insurance Median

$579

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: $280 (262%)

Insurance Median: $579 (542%)

Cash: $280 (262% of Medicare)

Ins. Median: $579 (542% 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 542% of the Medicare baseline (a markup of 442%). 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]	$234	219%
Healthcare Highways [2210]	$234 - $279	219%
Hooray Health [8000]	$234	219%
Lucent Health [6000]	$234	219%
Oncology Patient Assistance Programs [2295]	$234	219%
Oscar Insurance Company [7005]	$234	219%
Healthscope Benefits [2290]	$254	238%
UnitedHealthcare	$254 - $462	238%
Web Tpa [2115]	$279 - $410	261%
Aetna	$410	384%
Coresource [1315]	$410	384%
Coventry Healthcare [1320]	$410	384%
Meritain Health [1655]	$410	384%
Cigna	$457	428%
Healthpartners [1500]	$457	428%
National Association Of Letter Carriers [1695]	$457	428%
Pba [1775]	$457	428%
Global Health [1430]	$579	542%
First Health [1375]	$647 - $822	606%
Multiplan [1680]	$647 - $822	606%
Healthcare Solutions [1485]	$663	621%
Community Care [1290]	$775	726%
Fmh Benefit Services [1390]	$775	726%
Group Resources [1455]	$775	726%
Phcs [1780]	$775 - $822	726%
Healthsmart [1505]	$794	743%
Administrative Concepts [1005]	$822	770%
Allied Benefit Systems Inc [1030]	$822	770%
Allied National Global Care [1035]	$822	770%
Gilsbar [1425]	$822	770%
Healthnet [1495]	$822	770%
Mutual Of Omaha [1685]	$822	770%
New Era Life Insurance Company [1705]	$822	770%
Pan American Life Insurance Co [1770]	$822	770%
Trustmark [2030]	$822	770%
Universal Fidelity [2085]	$822	770%
Pending Ssi [1616]	$934	874%

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 $280.
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 Cushing 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.