CMS Price Transparency Data

X-ray, pelvis

Facility: Indiana Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $109
Cash Discount Price: $141
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Indiana Regional Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $141 (132%)

Insurance Median: $109 (102%)

Cash: $141 (132% of Medicare)

Ins. Median: $109 (102% 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
UnitedHealthcare	$12 - $161	11%
Upmc Health Plan	$12 - $185	11%
Amerihealth Caritas	$13 - $113	12%
Geisinger Health Plan	$13 - $113	12%
Ambetter / Centene	$14 - $113	13%
Highmark	$22 - $300	21%
Aetna	$26 - $334	24%
Cigna	$26 - $279	24%
Highmark Wholecare	$26 - $109	24%
Humana	$26 - $107	24%
Medicare (plans)	$26 - $109	24%
Tricare	$26 - $402	24%
United Mine Workers Of America	$26 - $109	24%
Geisinger	$37 - $305	35%
Pa Health And Wellness Commercial	$37 - $305	35%
Department Of Human Services And Torrance State Hospital	$241 - $253	226%
Premier Comp Solutions, Llc	$344 - $362	322%
Miscellaneous Commercial	$382 - $402	358%
Pa Workers Compensation	$382 - $402	358%

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 $141.
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 Indiana Regional Medical Center 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.