CMS Price Transparency Data

X-ray, pelvis

Facility: Tristar Centennial Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $302
Cash Discount Price: $1,590
vs. Medicare Baseline: 2.83x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Tristar Centennial Medical Center is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,590. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.83x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$1,590

Average discount available for prompt cash payment at this facility.

Insurance Median

$302

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: $1,590 (1489%)

Insurance Median: $302 (283%)

Cash: $1,590 (1489% of Medicare)

Ins. Median: $302 (283% 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 283% of the Medicare baseline (a markup of 183%). 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 Cross Blue Shield	$18 - $40	17%
Humana	$33 - $1,033	31%
Aetna	$37 - $795	35%
Cigna	$63 - $1,272	59%
United	$155 - $715	145%
Kentucky Labor Cabinet	$293	274%
Apex Health	$302	283%
Nhc Advantage, Inc.	$302	283%
Pruitt Health (Allyalign)	$302	283%
Tennessee Donor Services	$431	404%
Centurion	$655	613%
Emerging Therapy Solutions	$779 - $1,065	729%
Bgfh Singlesource	$795 - $1,351	744%
Value Option	$795	744%
Multiplan	$874	818%
Southern Health Partners	$954	893%
Employers Health Network	$1,113	1042%
Mhnet	$1,192	1116%
Odom'S Tn Pride Sausage	$1,192	1116%
Compsych	$1,272	1191%
Beech Street	$1,399	1310%
Prime Health	$1,399	1310%
UnitedHealthcare	$1,415 - $1,590	1325%

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 $1,590.
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 Tristar Centennial 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.