CMS Price Transparency Data

X-ray, pelvis

Facility: Chester County Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $116
  • Cash Discount Price: $245
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Chester County Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$245

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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: $245 (229%)
Insurance Median: $116 (109%)
Cash: $245 (229% of Medicare)
Ins. Median: $116 (109% 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
Gateway $10 - $133 9%
Medicaid / KanCare $10 - $245 9%
Keystone First $13 12%
UnitedHealthcare $14 - $161 13%
Health Partners $27 - $245 25%
Healthamerica/Coventry $37 35%
Cigna $52 - $245 49%
Pgm - Regie De L'Assurance Maladie Quebec $56 52%
Todays Option $69 65%
Preferred Health Care Eliance $76 71%
Aetna $78 - $114 73%
Ibc $82 - $137 77%
Keystone Hmo Proactive $82 77%
Pgm - Kuwait Defense $86 - $110 81%
Qualcare $93 87%
Pgm - Chop $98 92%
Hospice Vna $107 100%
Medicare (plans) $107 - $110 100%
Primecare Medical $107 100%
Tricare $107 100%
Va Medical Center $107 100%
Humana $111 104%
Devoted Health $113 106%
Pa Health And Wellness $113 - $177 106%
Clover Health Plan $114 107%
Mva Insurance $118 110%
Keystone First Vip Choice $119 111%
Us Family Health Plan $124 116%
Pgm - Royal Embassy Of Saudi Arabia $147 138%
Elap $153 143%
Pgm - Embassy Of Qatar $159 149%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $159 149%
Claims Watcher $172 - $193 161%
Pgm - Embassy Of The United Emirates/Ipc $172 161%
Oscar Health Plan $183 171%
Centivo $193 181%
Pgm - Kuwait Health Division $196 184%
Pgm - Kuwait Oil $196 184%
Preferred Health Care $196 184%
Elap Services $200 187%
Intergroup $208 195%
Olympus $215 201%
Highmark $221 207%
International Pfs $245 229%
Medrisk $245 229%
Not Adjusted $245 229%
Workers Compensation $245 229%
Penn Global Medicine $285 267%
Geisinger Health Plan $341 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals