CMS Price Transparency Data

X-ray, pelvis

Facility: Christus Santa Rosa Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $135
  • Cash Discount Price: $362
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Christus Santa Rosa Medical Center is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $362. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.26x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$362

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $362 (339%)
Insurance Median: $135 (126%)
Cash: $362 (339% of Medicare)
Ins. Median: $135 (126% 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
UnitedHealthcare $30 - $803 28%
Aetna $43 - $135 40%
Texas Healthspring $50 47%
Humana $58 - $100 54%
Cigna $68 - $86 64%
Amerigroup $77 - $230 72%
Community First $77 - $230 72%
Allwell $100 94%
Blue Cross Blue Shield $100 - $498 94%
Christus Health $100 - $140 94%
Coventry $100 94%
Molina $100 - $135 94%
Superior $100 - $135 94%
Triwest $100 94%
Wellcare $100 94%
Provider Partners Health Plan $103 96%
Texas Independence Health Plan $103 96%
Shared Health Insurance Company $105 98%
Us Imaging Network $107 100%
Devoted Health Plan $108 101%
Imperial Health Plan $110 103%
Medicare (plans) $110 103%
Procare Advantage $110 103%
Employer Direct $120 112%
Gilsbar Inc. $130 122%
Driscoll Children'S Health Plan $135 126%
El Paso First $135 126%
First Care $135 126%
Texas Childrens Health Plan $141 132%
Naphcare Inc. $200 187%
Community First Health Plan $281 - $842 263%
Healthcare Highways $287 - $861 269%
Christian Brothers Services $351 - $1,052 329%
First Health $415 - $1,243 389%
Healthsmart $415 - $1,530 389%
Multiplan $415 - $1,243 389%
Phcs $415 - $1,243 389%
Five Point Credit Union $447 - $1,339 419%
Medicus Internatiaonal $478 - $1,435 448%
Beech Street $510 - $1,530 477%
Health Management Network $510 - $1,530 477%
Provider Select $510 - $1,530 477%
National Choicecare $606 - $1,817 567%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals