CMS Price Transparency Data

X-ray, pelvis

Facility: Physicians Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $95
  • Cash Discount Price: $185
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Physicians Regional Medical Center is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.89x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$185

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $185 (173%)
Insurance Median: $95 (89%)
Cash: $185 (173% of Medicare)
Ins. Median: $95 (89% 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
Blue Cross Blue Shield $20 - $162 19%
Medicaid / KanCare $42 39%
UnitedHealthcare $42 - $834 39%
Amerigroup $78 - $98 73%
Amerigroup Community Care $78 - $84 73%
Tricare $81 - $90 76%
Humana $84 - $93 79%
Medicare (plans) $84 - $93 79%
Node Bluecare Plus Tn Mcr Adv $84 - $95 79%
Department Of Veterans Affairs $85 - $95 80%
Node Hospice Non Par Agree $85 - $95 80%
Node Va $85 - $95 80%
Node Devoted Health Mcr Adv $86 - $95 81%
Node Farm Bureau Mcr Adv $86 - $95 81%
Aetna $87 - $121 81%
Node Healthspring Mcr Adv $87 - $96 81%
Wellcare $89 - $99 83%
Node Nhc Mcr Adv $92 - $103 86%
Veterans Eval Services $95 89%
Node Us Dept Of Labor $107 - $119 100%
Us Department Of Labor $107 - $119 100%
Novanet Work Comp Tn $142 - $158 133%
Occunet Work Comp Tn $144 - $160 135%
Tn Work Comp $144 - $160 135%
Ambetter / Centene $158 - $175 148%
Node Point Comfort Underwriters $158 - $175 148%
Self Pay $181 - $189 169%
Cigna $197 - $223 184%
Multiplan $450 - $592 421%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals