CMS Price Transparency Data

X-ray, pelvis

Facility: Hospital of Univ of Pennsylvania

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $171
  • Cash Discount Price: $425
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Hospital of Univ of Pennsylvania is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.60x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$425

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $425 (398%)
Insurance Median: $171 (160%)
Cash: $425 (398% of Medicare)
Ins. Median: $171 (160% 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
Kaiser Permanente $10 - $425 9%
Medicaid / KanCare $10 - $425 9%
Keystone Mercy Health Plan $13 - $425 12%
Upmc $15 - $425 14%
Pa Medical Assistance $18 - $425 17%
UnitedHealthcare $20 - $425 19%
Health Partners $27 - $425 25%
Blue Cross Blue Shield $30 - $374 28%
Keystone Hmo Proactive $30 28%
Ibc Commercial Hpn $31 29%
Paired Kidney Exchange $34 32%
Cigna $52 - $191 49%
Gspp And Wissahickon Hospice $55 51%
Horizon Nj Health $72 - $75 67%
Preferred Health Care Eliance $94 88%
Pgm - Regie De L'Assurance Maladie Quebec $98 92%
Medicare (plans) $110 - $112 103%
Philadelphia Va Medical Center $110 103%
Tricare $110 103%
Aetna $111 - $425 104%
Ibc $112 105%
Geisinger Health Plan $113 - $349 106%
Humana $113 - $340 106%
Devoted Health $115 108%
Pa Health And Wellness $115 - $181 108%
Penn Life (Living Independently For Elders) $115 108%
Clover Health Plan $119 111%
Keystone First $122 114%
Us Family Health Plan $126 118%
Gateway Health Plan $136 127%
Pgm - Kuwait Defense $149 - $191 140%
Elap $156 146%
Qualcare $162 152%
Olympus $167 156%
Coventry $170 - $217 159%
Pgm - Chop $170 159%
Wissahickon Hospice $170 159%
Claims Watcher $176 - $198 165%
Oscar Health Plan $187 175%
Healthamerica/Coventry $191 - $208 179%
Centivo $198 185%
Elap Services $204 191%
First Health Global $212 198%
Highmark $231 216%
Health Net $255 239%
Pgm - Royal Embassy Of Saudi Arabia $255 239%
Pgm - Embassy Of Qatar $276 258%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $276 258%
Interlink $285 267%
Penn Global Medicine $291 272%
Pgm - Embassy Of The United Emirates/Ipc $298 279%
Health America/Ccn $340 318%
Intergroup $340 318%
Pgm - Kuwait Health Division $340 318%
Pgm - Kuwait Oil $340 318%
Preferred Care $340 318%
Blue Quality Centers For Transplant (Bqct) $425 398%
City Of Philadelphia Behavioral Health $425 398%
Commercial Other $425 398%
International Pfs $425 398%
United Behavioral Health $425 398%
Workers Compensation $425 398%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals