CMS Price Transparency Data

X-ray, pelvis

Facility: Greeneville Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $101
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Greeneville Community Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 1420 Tusculum Boulevard, Greeneville, TN.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $66 (62%)
Insurance Median: $101 (95%)
Cash: $66 (62% of Medicare)
Ins. Median: $101 (95% 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 $16 - $370 15%
Blue Cross Blue Shield $17 - $99 16%
Cigna $37 - $170 35%
Optima Health $77 72%
Amerigroup $97 - $101 91%
Aetna $98 - $187 92%
Humana $98 92%
Managed Medicaire $98 92%
Medicare (plans) $98 92%
Sentara Health $98 - $113 92%
United Mine Workers Of America $98 92%
Devoted Health Plan $102 95%
Mountain Empire Pace $102 95%
Nhc Advantage $102 95%
Wellcare $103 - $439 96%
Medcost $209 196%
Ambetter / Centene $213 199%
First Health Coventry $351 329%
Molina Healthcare $439 411%
Seven Corners, Inc. $439 411%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1420 Tusculum Boulevard, Greeneville, TN 37745
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals