CMS Price Transparency Data

X-ray, pelvis

Facility: Colleton Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $469
Cash Discount Price: $825
vs. Medicare Baseline: 4.39x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Colleton Medical Center is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $825. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.39x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$825

Average discount available for prompt cash payment at this facility.

Insurance Median

$469

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: $825 (772%)

Insurance Median: $469 (439%)

Cash: $825 (772% of Medicare)

Ins. Median: $469 (439% 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 439% of the Medicare baseline (a markup of 339%). 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
Blue Choice	$34	32%
Select Health	$34	32%
United	$34 - $472	32%
Sc State Employees	$59 - $66	55%
Absolute Total Care	$121 - $187	113%
Blue Choice Health Plan	$146 - $153	137%
Blue Cross Blue Shield	$146 - $845	137%
Nhc Advantage	$157 - $169	147%
Pruitt Health	$157 - $169	147%
Employers Health Network	$372 - $400	348%
Value Option	$413 - $444	387%
Vocational Rehab	$446 - $480	418%
Medcost	$466 - $649	436%
Aetna	$478 - $515	448%
Cigna	$534 - $574	500%
Humana	$537 - $800	503%
Mhnet	$620 - $667	580%
Evernorth	$661 - $711	619%
Multiplan	$702 - $756	657%
North American Administrators	$702 - $756	657%
Prime Health	$702 - $756	657%
First Health	$743 - $800	696%
Novanet	$743 - $800	696%

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 $825.
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 Colleton 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.