CMS Price Transparency Data

X-ray, pelvis

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $305
Cash Discount Price: $470
vs. Medicare Baseline: 2.86x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Magee Womens Hospital of UPMC Health System is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $470. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.86x the Medicare baseline. Located in 300 Halket Street, Pittsburgh, PA.

Cash / Self-Pay

$470

Average discount available for prompt cash payment at this facility.

Insurance Median

$305

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: $470 (440%)

Insurance Median: $305 (286%)

Cash: $470 (440% of Medicare)

Ins. Median: $305 (286% 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 286% of the Medicare baseline (a markup of 186%). 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
UnitedHealthcare	$19 - $109	18%
Upmc Health Plan	$19 - $111	18%
Aetna	$23 - $415	22%
Highmark Wholecare (Prev Gateway)	$26 - $109	24%
Geisinger	$27	25%
Amerihealth Caritas	$28 - $109	26%
Pa Health & Wellness	$30	28%
Blue Cross Blue Shield	$33 - $191	31%
Upmc Work Partners	$72	67%
Cigna	$313 - $415	293%
Intergroup	$392	367%
Coventry/First Health	$548	513%
Preferred Healthcare System	$626	586%
Humana	$666	624%
Private Health Care Systems	$666	624%
Multiplan	$720	674%

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 $470.
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 Magee Womens Hospital of UPMC Health System 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.