CMS Price Transparency Data

X-ray, pelvis

Facility: Medical Center of McKinney

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $155
Cash Discount Price: $1,306
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Medical Center of McKinney is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,306. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.45x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.

Cash / Self-Pay

$1,306

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $1,306 (1223%)

Insurance Median: $155 (145%)

Cash: $1,306 (1223% of Medicare)

Ins. Median: $155 (145% 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
Amerigroup	$28	26%
Parkland Community Health Plan	$28	26%
United	$28 - $245	26%
Cigna	$29 - $1,044	27%
Aetna	$30 - $949	28%
Molina	$31	29%
Humana	$35 - $849	33%
Superior Health Plan	$91	85%
Blue Cross Blue Shield	$133 - $580	125%
Healthcare Highways	$320 - $441	300%
Evry Health	$337	316%
Unicare	$339 - $1,306	317%
City Of Mckinney	$457	428%
Curative Administrators	$522	489%
Fidelis Securecare	$587	550%
National Choicecare	$653	611%
Pc Texas Partners	$718	672%
Physicians Coop Of Tx	$718	672%
Rockport Health Group	$718	672%
Averde Health, Inc	$757	709%
Magellan Bh	$783	733%
Value Options Behavioral Health	$783	733%
Coastal Comp Health Networks	$914	856%
Mega Life	$914	856%
Multiplan Phcs	$914	856%
Lewisville Isd/Dls Consulting	$979	917%
Compsych Corporation	$1,044	977%
Healthsmart Preferred Care	$1,044	977%
Usa Managed Care	$1,044	977%
Galaxy Health Network	$1,110	1039%
Independent Medical Systems	$1,306	1223%
National Healthcare Solutions	$1,306	1223%

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 $1,306.
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 of McKinney 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.