CMS Price Transparency Data

X-ray, pelvis

Facility: Milton S Hershey Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $115
Cash Discount Price: $176
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Milton S Hershey Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.08x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$176

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

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: $176 (165%)

Insurance Median: $115 (108%)

Cash: $176 (165% of Medicare)

Ins. Median: $115 (108% 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
[Amerihealth Caritas]	$94 - $111	88%
[Highmark Wholecare]	$94 - $111	88%
[Cbc]	$96 - $352	90%
[Geisinger]	$100 - $396	94%
[Health Partners Plans]	$103 - $113	96%
[Pa Health & Wellness]	$104 - $114	97%
[Highmark]	$110 - $596	103%
Aetna	$112 - $301	105%
Humana	$112	105%
[Healthspring]	$112	105%
UnitedHealthcare	$113 - $286	106%
[Upmc]	$113 - $393	106%
[Point Comfort Underwriters]	$139	130%
Cigna	$340	318%
[Preferred Healthcare Systems]	$399	374%
[Highmark Aca]	$417	390%
[First Health]	$426	399%
[Multiplan]	$426	399%
[Highmark Choice Blue]	$477	447%

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 $176.
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 Milton S Hershey 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.