CMS Price Transparency Data

X-ray, pelvis

Facility: Temple University Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $119
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Temple University Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.11x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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%)

Insurance Median: $119 (111%)

Ins. Median: $119 (111% 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
Amerihealth Caritas	$21	20%
Health Partners Plans	$25 - $112	23%
Pennsylvania Health And Wellness	$39 - $121	37%
Upmc Health Plan	$39 - $118	37%
Keystone First	$43 - $115	40%
Blue Cross Blue Shield	$47 - $350	44%
UnitedHealthcare	$99 - $296	93%
Humana	$110	103%
Innovage	$112	105%
Aetna	$113 - $235	106%
Cigna	$115 - $145	108%
Clover Health	$116	109%
Geisinger	$121 - $238	113%
Elder Health	$132	124%
Gateway Health Plan	$137	128%
Wtc Health Program	$137	128%
Naphcare	$165	154%
Oscar Health	$165	154%
Prime Health Services	$175	164%
Occunet	$181	169%

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 $X.
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 Temple University 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.