CMS Price Transparency Data

X-ray, pelvis

Facility: Mission Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $105
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Mission Regional Medical Center is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 900 South Bryan Road, Mission, TX.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $104 (97%)
Insurance Median: $105 (98%)
Cash: $104 (97% of Medicare)
Ins. Median: $105 (98% 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
Superior Health Plan $28 - $136 26%
Molina $30 - $162 28%
Medicaid / KanCare $52 - $54 49%
UnitedHealthcare $52 - $105 49%
Blue Cross Blue Shield $54 - $454 51%
Cigna $54 - $108 51%
Aetna $105 98%
Medicare (plans) $105 98%
Tricare $105 98%
Wellmed $105 98%
Worker Comp $105 98%
Imperial Insurance Companies $111 104%
Employer Direct Healthcare $136 127%
Frontier Health (Fka Asserta Health) $136 127%
Magic Valley Electric Cooperative $136 127%
Corporate Remedies $157 147%
Naphcare $162 152%
Baker Benefits Administrators $209 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 South Bryan Road, Mission, TX 78572
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals