CMS Price Transparency Data

X-ray, pelvis

Facility: Hospital San Francisco

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $15
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Hospital San Francisco is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.14x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $15 (14%)
Insurance Median: $15 (14%)
Cash: $15 (14% of Medicare)
Ins. Median: $15 (14% 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
Acaa $6 6%
First Medical $8 7%
Mc $8 7%
Mso $8 - $15 7%
Triple S $8 - $19 7%
Western Medical Hospice $8 7%
Aarp $11 10%
Humana $11 - $15 10%
Mapfre $12 11%
Mcs $13 - $15 12%
Auxilio Platino $14 13%
Plan De Salud Menonita $14 - $17 13%
Pr Other Insurances $14 13%
Medicare (plans) $15 14%
Tricare $15 14%
Va $15 14%
Cigna $16 15%
Comerciales $16 15%
Fondo Del Seguro Estado $16 15%
Bl $17 16%
Ch $20 19%
Mpc - Us $20 19%
UnitedHealthcare $20 19%
Us $20 19%
Medicaid / KanCare $22 21%
Prossam $22 21%
Corvel Network $27 25%
Mpc-Pr Other Insurances $27 25%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals