CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Houston Healthcare West

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $207
  • Cash Discount Price: $2,190
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Houston Healthcare West is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,190. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.94x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$2,190

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $2,190 (2050%)
Insurance Median: $207 (194%)
Cash: $2,190 (2050% of Medicare)
Ins. Median: $207 (194% 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
Amerigroup $28 26%
Community Health Choice Mcd $28 26%
Texas Childrens Health Plans $28 - $364 26%
Texas Health Network $28 26%
United $29 - $986 27%
Aetna $30 - $207 28%
Molina Healthcare $31 29%
Humana $35 - $403 33%
Cigna $71 - $1,752 66%
Superior Health Plan $131 123%
Blue Cross Blue Shield $197 - $766 184%
Texas Workforce Commission $526 492%
Healthcare Highways $558 522%
Evry Health $598 560%
Imagine Health $766 717%
Christus (Usfhp) $876 820%
Curative Administrators $876 820%
Healthsmart Preferred Care $942 - $1,862 882%
Averde Health $986 923%
Fidelis Securecare Of Tx $986 923%
Coventry National First Health $1,167 1093%
Physicians Cooperative Of Texas $1,204 1127%
Rockport Workers Comp $1,204 1127%
Independent Medical System $1,314 1230%
National Healthcare Solutions $1,314 1230%
Southwest Medical $1,314 1230%
Triumph $1,314 1230%
Coastal Comp $1,424 1333%
Multiplan $1,642 - $1,862 1537%
Physicians, Inc $1,862 1743%
Affiliated Ppo $1,971 1845%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals