CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Houston Healthcare Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $192
Cash Discount Price: $2,004
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Houston Healthcare Medical Center is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,004. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.80x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.

Cash / Self-Pay

$2,004

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $2,004 (1876%)

Insurance Median: $192 (180%)

Cash: $2,004 (1876% of Medicare)

Ins. Median: $192 (180% 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
Community Health Choice Mcd	$28	26%
United	$29 - $902	27%
Aetna	$30 - $207	28%
Molina Healthcare	$31	29%
Humana	$35 - $403	33%
Cigna	$71 - $92	66%
Superior Health Plan	$119 - $120	111%
Blue Cross Blue Shield	$197 - $701	184%
Healthcare Highways	$506 - $511	474%
Evry Health	$542 - $547	507%
Christus (Usfhp)	$793 - $802	742%
Curative Administrators	$793 - $802	742%
Coventry National First Health	$1,057 - $1,068	990%

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 $2,004.
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 HCA Houston Healthcare Medical Center 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.