CMS Price Transparency Data

X-ray, pelvis

Facility: Seiling Municipal Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $209
Cash Discount Price: $106
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Seiling Municipal Hospital is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.96x the Medicare baseline. Located in 809 Ne Highway 60, Seiling, OK.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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: $106 (99%)

Insurance Median: $209 (196%)

Cash: $106 (99% of Medicare)

Ins. Median: $209 (196% 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.

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
UnitedHealthcare	$46 - $106	43%
Aetna	$106 - $247	99%
Blue Cross Blue Shield	$106 - $210	99%
Wellcare Mcr Adv - All Plans	$106	99%
Humana	$107 - $247	100%
Coventry Comm - All Plans	$173	162%
Cigna	$196	184%
Multiplan Ip/Op Only - All Plans	$198	185%
Ambetter / Centene	$207	194%
Community Choice Ppo Ip/Op Only - All Plans	$210	197%
Preferred Comm Ip/Op Only - All Plans	$210	197%
Soonerselect Mcaid - All Plans	$247	231%
Healthchoice Ip/Op Only - All Plans	$252	236%

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 $106.
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 Seiling Municipal Hospital 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.