CMS Price Transparency Data

X-ray, pelvis

Facility: UPMC Kane

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $72
Cash Discount Price: $84
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at UPMC Kane is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.67x the Medicare baseline. Located in 4372 Route 6, Kane, PA.

Cash / Self-Pay

$84

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $84 (79%)

Insurance Median: $72 (67%)

Cash: $84 (79% of Medicare)

Ins. Median: $72 (67% 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
UPMC Health Plan	$15 - $104	14%
Aetna	$16 - $92	15%
UnitedHealthcare	$16 - $117	15%
Highmark Wholecare (Prev Gateway)	$16 - $91	15%
Blue Cross Blue Shield	$16 - $99	15%
Amerihealth Caritas	$17 - $96	16%
Geisinger	$24	22%
Cigna	$29 - $5,380	27%
Horizon Health Plan	$29 - $167	27%
PA Health & Wellness	$30	28%
Multiplan	$32 - $179	30%
Health Coalition Partners	$34 - $191	32%
Intergroup	$34 - $191	32%
Focus Healthcare	$40 - $227	37%
UPMC Work Partners	$65	61%

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 $84.
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 Kane 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.