CMS Price Transparency Data

X-ray, pelvis

Facility: Geisinger-Lewistown Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $273
Cash Discount Price: $371
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Geisinger-Lewistown Hospital is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.56x the Medicare baseline. Located in 400 Highland Avenue, Lewistown, PA.

Cash / Self-Pay

$371

Average discount available for prompt cash payment at this facility.

Insurance Median

$273

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: $371 (347%)

Insurance Median: $273 (256%)

Cash: $371 (347% of Medicare)

Ins. Median: $273 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
Medicaid / KanCare	$18	17%
Amerihealth	$19	18%
Geisinger Family Plan	$19	18%
Health Partners	$21	20%
Upmc Health Plan	$21 - $11,890	20%
Upmc Chip	$22	21%
Blue Cross Blue Shield	$103 - $324	96%
Geisinger Health Plan	$103 - $483	96%
Medicare (plans)	$103	96%
Advantra	$104	97%
Humana	$104	97%
Aetna	$244 - $291	228%
Ambetter / Centene	$248	232%
Cigna	$259 - $315	242%
UnitedHealthcare	$265	248%
Christian Healthcare Ministries	$299	280%
Christian Health Aid	$478	448%
Three Rivers Provider Network Inc.	$478	448%
Multiplan	$508	476%
Healthsmart Payors Organization	$538	504%

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 $371.
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 Geisinger-Lewistown 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.