CMS Price Transparency Data

X-ray, pelvis

Facility: OHSU Hospital and Clinics

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $123
  • Cash Discount Price: $289
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at OHSU Hospital and Clinics is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.15x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$289

Average discount available for prompt cash payment at this facility.

Insurance Median
$123

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: $289 (271%)
Insurance Median: $123 (115%)
Cash: $289 (271% of Medicare)
Ins. Median: $123 (115% 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
Samaritan Health Plan $26 - $293 24%
Care Oregon $85 - $139 80%
Community Health Plan Of Washington $85 - $164 80%
Medicare (plans) $85 - $188 80%
Providence Health Plan $88 - $141 82%
Intercommunity Health Network $94 88%
Kaiser Foundation Hospitals $94 - $273 88%
Pacific Source $94 - $346 88%
Aetna $99 - $127 93%
Humana $106 - $124 99%
Trillium $106 - $117 99%
UnitedHealthcare $112 - $445 105%
Health Net Health Plan Of Oregon, Inc. $122 - $345 114%
Moda $123 - $409 115%
Tuality Health $211 198%
Coventry First Health $334 313%
First Choice $337 316%
Blue Cross Blue Shield $365 342%
Cigna $367 344%
Molina Exchange $445 417%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals