CMS Price Transparency Data

X-ray, pelvis

Facility: Valley Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $409
Cash Discount Price: $2,139
vs. Medicare Baseline: 3.83x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Valley Regional Medical Center is $409. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,139. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.83x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.

Cash / Self-Pay

$2,139

Average discount available for prompt cash payment at this facility.

Insurance Median

$409

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: $2,139 (2003%)

Insurance Median: $409 (383%)

Cash: $2,139 (2003% of Medicare)

Ins. Median: $409 (383% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 383% of the Medicare baseline (a markup of 283%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Texas Health Network	$28	26%
Usa Mco	$28	26%
Driscoll Childrens Health Plan	$29	27%
United	$29 - $962	27%
Aetna	$30 - $208	28%
Molina Healthcare	$31	29%
Superior Health Plan	$150	140%
Humana	$227	213%
Blue Cross Blue Shield	$242 - $962	227%
Texas Workforce Commission	$513	480%
Healthcare Highways	$545	510%
Cigna	$626 - $838	586%
Averde Health	$706	661%
Curative Administrators	$856	801%
Healthsmart Preferred Care	$920 - $1,818	861%
First Health	$1,230	1152%
National Healthcare Solutions	$1,283	1201%
Southwest Medical	$1,283	1201%
Coastal Comp	$1,390	1301%
Total E&P Mexico	$1,390	1301%
Affiliated Healthcare	$1,454	1361%
Mcm Maxcare	$1,711	1602%
Pronet Ppo	$1,711	1602%
Usa Managed Care	$1,711	1602%
Beech Street	$1,925	1802%

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 $2,139.
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 Valley Regional 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.