CMS Price Transparency Data

X-ray, pelvis

Facility: UPMC Hanover

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $124
Cash Discount Price: $263
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at UPMC Hanover is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 300 Highland Ave, Hanover, PA.

Cash / Self-Pay

$263

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $263 (246%)

Insurance Median: $124 (116%)

Cash: $263 (246% of Medicare)

Ins. Median: $124 (116% 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	$13 - $322	12%
Amerihealth Caritas	$22	21%
Highmark Wholecare (Prev Gateway)	$22	21%
Upmc Health Plan	$23 - $307	22%
Health Partners Plans (Jefferson Health Plan)	$24	22%
Geisinger	$25 - $316	23%
Pa Health & Wellness	$30 - $110	28%
Premier Comp Solutions	$70	66%
Upmc Work Partners	$70	66%
Blue Cross Blue Shield	$83 - $361	78%
Keystone Health Plan	$83 - $298	78%
Humana	$102	95%
Aetna	$106 - $319	99%
Prime Net	$106 - $137	99%
Cigna	$107 - $589	100%
Keystone Autism Services	$163	153%
Carefirst	$372	348%
Multiplan	$372	348%
Wellspan Population Health	$381	357%

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 $263.
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 UPMC Hanover 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.