CMS Price Transparency Data

X-ray, pelvis

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $113
Cash Discount Price: $168
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Independence Health System Butler Memorial Hospita is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in One Hospital Way, Butler, PA.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $168 (157%)

Insurance Median: $113 (106%)

Cash: $168 (157% of Medicare)

Ins. Median: $113 (106% 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
Gateway	$18 - $252	17%
Medicaid / KanCare	$18	17%
UnitedHealthcare	$18 - $262	17%
Upmc	$18 - $252	17%
Amerihealth	$19 - $107	18%
Geisinger	$19 - $240	18%
Jefferson Health Plan	$19	18%
Aetna	$20 - $235	19%
Highmark	$45 - $216	42%
Highmark - Ind.& Managed Care	$45 - $240	42%
Highmark Aca - Direct Blue	$45 - $135	42%
Highmark Community Blue	$45 - $212	42%
Pnoa	$68 - $192	64%
Ellwood Group	$72 - $205	67%
Ccbh - Behavioral Health	$82 - $120	77%
Martin'S Point - Usfhp	$84 - $102	79%
Devoted Health Plan	$96 - $108	90%
Life Butler County	$102	95%
Medicare (plans)	$102	95%
Peak Health	$102 - $240	95%
Provider Partners	$102	95%
Tricare	$102	95%
Humana	$106	99%
The Health Plan	$108 - $240	101%
Pa Health & Wellness	$109	102%
American Health Plan	$113	106%
Workers Comp	$113	106%
Cigna	$120 - $234	112%
Private Healthcare Systems	$168 - $204	157%
Devon	$180	169%
Intergroup	$192	180%
Multiplan	$216	202%

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 $168.
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 Independence Health System Butler Memorial Hospita 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.