CMS Price Transparency Data

X-ray, pelvis

Facility: Tristar Hendersonville Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $104
  • Cash Discount Price: $861
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Tristar Hendersonville Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $861. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 355 New Shackle Island Rd, Hendersonville, TN.
Cash / Self-Pay
$861

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $861 (806%)
Insurance Median: $104 (97%)
Cash: $861 (806% of Medicare)
Ins. Median: $104 (97% 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 $18 - $40 17%
Humana $33 - $215 31%
Aetna $37 - $430 35%
Cigna $63 - $289 59%
United $155 - $387 145%
Kentucky Labor Cabinet $158 148%
Apex Health $164 154%
Nhc Advantage, Inc. $164 154%
Pruitt Health (Allyalign) $164 154%
Bgfh Singlesource $430 - $732 403%
Employers Health Network $603 565%
Odom'S Tn Pride Sausage $646 605%
Multiplan $706 661%
Beech Street $792 742%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 New Shackle Island Rd, Hendersonville, TN 37075
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals