CMS Price Transparency Data

X-ray, pelvis

Facility: North Austin Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $79
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at North Austin Medical Center is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.74x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $125 (117%)
Insurance Median: $79 (74%)
Cash: $125 (117% of Medicare)
Ins. Median: $79 (74% 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
Superior Health Plan $6 - $78 6%
Amerigroup $22 21%
Moda $27 - $108 25%
St David’S Hospice $28 26%
United $28 - $245 26%
Blue Cross Blue Shield $29 - $343 27%
Molina Healthcare $31 29%
Covenant Management Systems $33 - $132 31%
Healthcare Highways $33 - $137 31%
Imo Med - Select Network $34 - $137 32%
Aetna $35 - $185 33%
Humana $35 33%
Sendero $35 33%
Nomi Health $36 - $169 34%
Moda Health $41 - $169 38%
Evry Health $42 - $169 39%
Texas Healthcare Foundation Heb $42 - $169 39%
Texas Workforce Commission $44 - $179 41%
Curative Administrators $45 - $183 42%
Harbor Health Team $45 - $183 42%
Averde Health $51 - $206 48%
UnitedHealthcare $51 - $206 48%
Comanche County $56 - $229 52%
National Choicecare $56 - $229 52%
Healthsmart Preferred Care $62 - $366 58%
Independent Medical Systems $62 - $252 58%
Physicians Cooperative Of Texas $62 - $252 58%
Prime Health $68 - $275 64%
First Health $71 - $325 66%
Coastal Comp Health Networks $73 - $298 68%
National Health Care $73 - $298 68%
Texas Municipal League $79 - $321 74%
Medcorp Southwest $85 - $344 80%
Rockport Healthcare Group $90 - $412 84%
Bce Emergis Corporation $102 - $412 95%
Beech Street $102 - $412 95%
Medical Control Network Solutions $102 - $412 95%
Multiplan $102 - $412 95%
Cigna $150 - $192 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals