CMS Price Transparency Data

X-ray, pelvis

Facility: Medical Center Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $161
Cash Discount Price: $295
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Medical Center Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.51x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$295

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $295 (276%)

Insurance Median: $161 (151%)

Cash: $295 (276% of Medicare)

Ins. Median: $161 (151% 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.

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
Corvel Wc	$22 - $27	21%
Medicaid / KanCare	$28 - $29	26%
Superior Chips	$28	26%
UnitedHealthcare	$28 - $461	26%
Ambetter / Centene	$31 - $109	29%
Amerigroup	$31	29%
Blue Cross Blue Shield	$31 - $241	29%
Community Health Choice	$31	29%
First Care Health Plan	$31	29%
Superior Health Plan	$31	29%
Caprock	$67 - $221	63%
Healthsmart Preferred Care	$74 - $277	69%
Aetna	$100 - $304	94%
Humana	$100	94%
Novitas Solutions	$103	96%
Triwest Va Ccn	$103	96%
Care Improvement Plus	$105	98%
Wellcare By Allwell	$109	102%
Group Resources	$126	118%
Cigna	$156 - $233	146%
Health Select	$198 - $217	185%
Workers Comp	$210	197%
90 Degree Benefits	$221 - $325	207%
State Comptroller	$230	215%
Texas Mutual Wc	$304	285%
Geha	$314	294%
Firstcare	$323	302%

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 $295.
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 Medical Center Hospital 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.