CMS Price Transparency Data

X-ray, pelvis

Facility: Methodist Hospital Atascosa

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $195
  • Cash Discount Price: $988
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Methodist Hospital Atascosa is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $988. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.83x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.
Cash / Self-Pay
$988

Average discount available for prompt cash payment at this facility.

Insurance Median
$195

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: $988 (925%)
Insurance Median: $195 (183%)
Cash: $988 (925% of Medicare)
Ins. Median: $195 (183% 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
Community First Health Plans $28 - $278 26%
Molina $28 26%
United $28 - $463 26%
Aetna $30 - $514 28%
Humana $35 33%
Superior Health $47 - $51 44%
Imperial Insurance $180 - $195 169%
Blue Cross Blue Shield $196 - $451 184%
Focus Health Solutions $284 - $308 266%
Healthcare Highways $292 - $317 273%
Valenz $332 - $360 311%
Evry Health $349 - $378 327%
Cigna $362 - $478 339%
Curative Administrators $379 - $411 355%
Healthsmart Preferred Care $521 - $565 488%
Multiplan $711 - $874 666%
Triwest Health Alliance $711 - $771 666%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1905 Hwy 97 East, Jourdanton, TX 78026
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals