CMS Price Transparency Data

X-ray, pelvis

Facility: Lake Granbury Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $115
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Lake Granbury Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.08x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $36 (34%)
Insurance Median: $115 (108%)
Cash: $36 (34% of Medicare)
Ins. Median: $115 (108% 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
Self Pay $8 - $167 7%
Amerigroup $19 - $217 18%
Blue Cross Blue Shield $33 - $384 31%
Cigna $33 - $600 31%
UnitedHealthcare $55 - $647 51%
Aetna $59 - $1,046 55%
Medicaid / KanCare $67 - $782 63%
Healthsmart $72 - $1,065 67%
Tricare $90 - $100 84%
Node Champva $95 - $105 89%
Multiplan $98 - $1,339 92%
Humana $101 - $113 95%
Medicare (plans) $101 - $113 95%
Veterans Eval Services $101 95%
Hospice Non Par $103 - $115 96%
Node Care N Care $103 - $115 96%
Node Va $103 - $115 96%
Triwest $103 - $115 96%
Santa Fe Hospital Association $104 - $1,218 97%
American Health $105 - $117 98%
Node Amerigroup Mcr Adv $106 - $118 99%
Provider Partners Health Plan $106 - $118 99%
Superior $106 - $314 99%
Galaxy Health $124 - $1,446 116%
Medcorp Southwest $124 - $1,446 116%
Node Us Dept Of Labor $129 - $143 121%
Healthspring $136 - $139 127%
Node Brookshire Brothers $180 - $200 169%
93% Payors Work Comp Tx $192 - $213 180%
Node Brookshire Brothers Work Comp Tx $192 - $213 180%
Work Comp $206 - $229 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals