CMS Price Transparency Data

X-ray, pelvis

Facility: Medical City Dallas Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $148
  • Cash Discount Price: $747
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Medical City Dallas Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $747. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.39x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$747

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $747 (699%)
Insurance Median: $148 (139%)
Cash: $747 (699% of Medicare)
Ins. Median: $148 (139% 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%
Cook Childrens Health Plan $28 26%
Parkland Community Health Plan $28 26%
Texas Health Network $28 26%
United $28 - $245 26%
Cigna $29 - $411 27%
Aetna $30 - $440 28%
Molina $31 29%
Humana $35 - $92 33%
Superior Health Plan $52 49%
UnitedHealthcare $82 - $665 77%
Blue Cross Blue Shield $146 - $479 137%
Religious Order Of Jehovah Witness $149 140%
Unicare $179 - $747 168%
Healthcare Highways $183 - $252 171%
Healthcare Highways Ntx $190 - $261 178%
Evry Health $193 181%
Curative Administrators $299 280%
Prominence Health Plan $299 280%
City Of Mckinney $336 315%
Fidelis Securecare $336 315%
Emerging Therapy Solutions $366 - $523 343%
National Choicecare $374 350%
Pc Texas Partners $411 385%
Physicians Coop Of Tx $411 385%
Rockport Health Group $411 385%
Texas Instruments $418 391%
Averde Health, Inc $433 405%
Coastal Comp Health Networks $523 490%
Mega Life $523 490%
Multiplan Phcs $523 490%
Healthsmart Preferred Care $530 496%
Lewisville Isd/Dls Consulting $560 524%
Usa Managed Care $598 560%
Usc Health Services $598 560%
Galaxy Health Network $635 595%
Independent Medical Systems $747 699%
National Healthcare Solutions $747 699%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals