CMS Price Transparency Data

X-ray, pelvis

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $100
  • Cash Discount Price: $196
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Tennova Healthcare - Newport Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.94x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$196

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $196 (184%)
Insurance Median: $100 (94%)
Cash: $196 (184% of Medicare)
Ins. Median: $100 (94% 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
Bluecare $16 - $17 15%
Blue Cross Blue Shield $36 - $157 34%
Medicaid / KanCare $42 39%
UnitedHealthcare $42 - $834 39%
Amerigroup $77 - $105 72%
Tricare $81 - $90 76%
Node Champva $85 - $95 80%
Humana $90 - $100 84%
Medicare (plans) $90 - $100 84%
Node Bluecare Plus Tn Mcr Adv $91 - $102 85%
Node Hospice Non Par Agree $91 - $102 85%
Node Va $91 - $102 85%
Node Devoted Health Mcr Adv $92 - $102 86%
Node Farm Bureau Mcr Adv $92 - $102 86%
Aetna $93 - $519 87%
Node Healthspring Mcr Adv $93 - $103 87%
Node Wellcare Mcr Adv $94 - $104 88%
Windsor Health Plan $94 - $105 88%
Veterans Eval Services $95 89%
Node Nhc Mcr Adv $99 - $110 93%
Us Department Of Labor $114 - $127 107%
Cigna $123 - $137 115%
Novanet Work Comp Tn $142 - $158 133%
Tn Work Comp $144 - $160 135%
Ambetter / Centene $169 - $188 158%
Self Pay $196 184%
Point Comfort Underwriters $198 - $220 185%
Multiplan $651 609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals