CMS Price Transparency Data

X-ray, pelvis

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $261
Cash Discount Price: $371
vs. Medicare Baseline: 2.44x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Geisinger Wyoming Valley Medical Center is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.44x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.

Cash / Self-Pay

$371

Average discount available for prompt cash payment at this facility.

Insurance Median

$261

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: $371 (347%)

Insurance Median: $261 (244%)

Cash: $371 (347% of Medicare)

Ins. Median: $261 (244% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 244% of the Medicare baseline (a markup of 144%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Geisinger Family Plan	$18	17%
Medicaid / KanCare	$18	17%
Amerihealth	$20	19%
Health Partners	$21	20%
Upmc For You	$21	20%
Upmc Chip	$22	21%
Blue Cross Blue Shield	$97 - $139	91%
Geisinger Health Plan	$105 - $322	98%
Humana	$105	98%
Life Geisinger	$105	98%
Medicare (plans)	$105 - $119	98%
Prison Health Services	$105	98%
Cigna	$259 - $271	242%
Aetna	$278 - $399	260%
Christian Healthcare Ministries	$299	280%
UnitedHealthcare	$306	286%
Ambetter / Centene	$347	325%
Wyoming Seminary	$419	392%
Intergroup Services	$508	476%
Multiplan	$508	476%

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 $371.
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 Geisinger Wyoming Valley 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.