CMS Price Transparency Data

X-ray, pelvis

Facility: Medical City Las Colinas

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $256
Cash Discount Price: $1,234
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Medical City Las Colinas is $256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,234. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.40x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.

Cash / Self-Pay

$1,234

Average discount available for prompt cash payment at this facility.

Insurance Median

$256

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: $1,234 (1155%)

Insurance Median: $256 (240%)

Cash: $1,234 (1155% of Medicare)

Ins. Median: $256 (240% 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 240% of the Medicare baseline (a markup of 140%). 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
Amerigroup	$28	26%
Cook Childrens Health Plan	$28	26%
United	$28 - $245	26%
Cigna	$29 - $193	27%
Aetna	$30 - $1,005	28%
Molina	$31	29%
Parkland Community Health Plan	$31	29%
Humana	$35 - $92	33%
Superior Health Plan	$76 - $96	71%
Blue Cross Blue Shield	$133 - $611	125%
Healthcare Highways	$267 - $465	250%
Evry Health	$281 - $355	263%
Unicare	$382 - $1,376	358%
Curative Administrators	$436 - $550	408%
City Of Mckinney	$491 - $619	460%
National Choicecare	$546 - $688	511%
Pc Texas Partners	$600 - $757	562%
Physicians Coop Of Tx	$600 - $757	562%
Rockport Health Group	$600 - $757	562%
Averde Health, Inc	$633 - $798	593%
Coastal Comp Health Networks	$764 - $963	715%
Mega Life	$764 - $963	715%
Multiplan Phcs	$764 - $963	715%
Healthsmart Preferred Care	$775 - $977	726%
Lewisville Isd/Dls Consulting	$818 - $1,032	766%
Usa Managed Care	$873 - $1,101	817%
Usc Health Services	$873 - $1,101	817%
Galaxy Health Network	$927 - $1,170	868%
Independent Medical Systems	$1,091 - $1,376	1021%
National Healthcare Solutions	$1,091 - $1,376	1021%

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 $1,234.
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 Medical City Las Colinas 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.