CMS Price Transparency Data

X-ray, pelvis

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $47
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 0.44x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.44x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $199 (186%)
Insurance Median: $47 (44%)
Cash: $199 (186% of Medicare)
Ins. Median: $47 (44% 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
Molina $7 - $112 7%
Parkland $7 - $28 7%
UnitedHealthcare $7 - $357 7%
Wellpoint $7 - $112 7%
Aetna $8 - $193 7%
Ambetter / Centene $8 - $28 7%
Procare $8 - $106 7%
Superior $8 - $112 7%
Blue Cross Blue Shield $9 - $684 8%
Humana $9 - $111 8%
United Options Nexus $12 - $397 11%
Coventry $14 - $278 13%
Healthfirst $16 - $224 15%
Quiktrip $18 - $251 17%
Maestro Health/Fort Worth Firefighters $20 - $213 19%
Phcs $20 - $323 19%
Cigna $26 - $293 24%
Healthsmart $27 - $330 25%
Rockwall County $36 - $279 34%
Galaxy Health Network $47 - $350 44%
Multiplan $47 - $346 44%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals