CMS Price Transparency Data

X-ray, pelvis

Facility: University Health System, Inc

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $97
  • Cash Discount Price: $91
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at University Health System, Inc is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.91x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$91

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $91 (85%)
Insurance Median: $97 (91%)
Cash: $91 (85% of Medicare)
Ins. Median: $97 (91% 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
UnitedHealthcare $6 - $255 6%
Aetna $8 - $255 7%
American Health $8 - $103 7%
Blue Cross Blue Shield $8 - $233 7%
Bluecare $8 7%
Choicecare $8 - $11 7%
Cigna $8 - $276 7%
Humana $8 - $97 7%
Nhc $8 - $103 7%
Tenncare $8 7%
Wellpoint $9 - $103 8%
Multiplan $12 - $218 11%
Coventry $13 - $255 12%
Initial Group $13 12%
First Health $14 13%
Novanet $14 13%
Beechstreet $15 - $273 14%
Devoted Health $101 95%
Wellcare-Windsor Medadv $102 95%
Medicare (plans) $103 - $104 96%
Fentress County Sheriffs Dept $146 137%
Nx Health $218 204%
Phcs $218 204%
Naphcare $237 222%
Prime Health $273 - $364 256%
Seven Corners $273 256%
Usa $291 272%
Evolutions $328 307%
Galaxy $328 307%
Healthsmart $328 307%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals