CMS Price Transparency Data

X-ray, pelvis

Facility: Curry General Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $366
Cash Discount Price: $385
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Curry General Hospital is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.43x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$385

Average discount available for prompt cash payment at this facility.

Insurance Median

$366

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: $385 (360%)

Insurance Median: $366 (343%)

Cash: $385 (360% of Medicare)

Ins. Median: $366 (343% 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 343% of the Medicare baseline (a markup of 243%). 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
Blue Cross Blue Shield	$22 - $385	21%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$33	31%
First Choice Health Admin [1294]	$82	77%
First Choice [528]	$82	77%
Tricare	$120	112%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$167	156%
Medicare (plans)	$167 - $250	156%
Medicaid / KanCare	$243 - $250	228%
Department Of Corrections [1051]	$250	234%
Coordinated Care Commercial [1649]	$327	306%
Pacificsource [1148]	$327	306%
Moda [512]	$330 - $346	309%
Multiplan [1131]	$350	328%
Asuris [1258]	$366	343%
Operating Engineers [1144]	$366	343%
Regence [1351]	$366 - $385	343%
Cigna	$377 - $385	353%
Coventry First Health Managed Care [1774]	$377	353%
Coventry Health [1046]	$377	353%
Providence Health Plan Plm Alt [1692]	$377	353%
Providence Health Plan [567]	$377	353%
Aetna	$385	360%
Employee Bene Admin Mgmt [525]	$385	360%
Geha [531]	$385	360%
Mailhandlers Benefit Pln [547]	$385	360%
Meritain [550]	$385	360%
Nw Sheet Metal Workers [597]	$385	360%
Trustmark [524]	$385	360%
UnitedHealthcare	$385	360%
Zenith Administrators [586]	$385	360%
Allcare Alt [2598]	$1,500	1404%
Allcare [1695]	$1,500	1404%

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 $385.
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 Curry General 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.