CMS Price Transparency Data

X-ray, pelvis

Facility: Medical City Arlington

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $337
  • Cash Discount Price: $1,425
  • vs. Medicare Baseline: 3.16x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Medical City Arlington is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,425. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.16x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$1,425

Average discount available for prompt cash payment at this facility.

Insurance Median
$337

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: $1,425 (1334%)
Insurance Median: $337 (316%)
Cash: $1,425 (1334% of Medicare)
Ins. Median: $337 (316% 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 316% of the Medicare baseline (a markup of 216%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 - $277 26%
Cigna $29 - $206 27%
Aetna $30 - $1,071 28%
Molina $31 29%
Humana $35 - $92 33%
Superior Health Plan $96 - $103 90%
Blue Cross Blue Shield $133 - $654 125%
Unicare $262 - $1,473 245%
Healthcare Highways $337 - $498 316%
Evry Health $355 - $380 332%
Curative Administrators $551 - $589 516%
City Of Mckinney $620 - $663 580%
Fidelis Securecare $620 - $663 580%
Global Sports Services $689 - $737 645%
National Choicecare $689 - $737 645%
Pc Texas Partners $757 - $810 709%
Physicians Coop Of Tx $757 - $810 709%
Rockport Health Group $757 - $810 709%
Averde Health, Inc $799 - $854 748%
Coastal Comp Health Networks $964 - $1,031 903%
Mega Life $964 - $1,031 903%
Multiplan Phcs $964 - $1,031 903%
Healthsmart Preferred Care $978 - $1,046 916%
Lewisville Isd/Dls Consulting $1,033 - $1,105 967%
Usa Managed Care $1,102 - $1,178 1032%
Usc Health Services $1,102 - $1,178 1032%
Galaxy Health Network $1,171 - $1,252 1096%
Texas Instruments $1,239 - $1,326 1160%
Independent Medical Systems $1,377 - $1,473 1289%
National Healthcare Solutions $1,377 - $1,473 1289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals