CMS Price Transparency Data

X-ray, pelvis

Facility: Yoakum Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $148
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Yoakum Community Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.39x the Medicare baseline. Located in 1200 Carl Ramert Drive, Yoakum, TX.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $121 (113%)
Insurance Median: $148 (139%)
Cash: $121 (113% of Medicare)
Ins. Median: $148 (139% 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
Humana $76 71%
Medicare (plans) $76 71%
Prime Health Svcs Mcr Advantage $76 71%
Scott & White Mcare Advan $76 71%
Superior Mcr Advantage $76 71%
Triwest Va Ccn-All Plans $76 71%
Tx Independent Hp Mcr Advantage-All Plans $76 71%
UnitedHealthcare $76 - $148 71%
Blue Cross Blue Shield $77 - $417 72%
Superior Hix-All Other Plans $95 89%
Kempton Group Admin Ppo-All Plans $122 114%
Entrust - All Plans $129 121%
Medicaid / KanCare $135 - $185 126%
Amera-Net-All Plans $139 130%
Scott & White Ppo-All Other Plans $139 130%
Healthsmart Ppo-All Other Plans $145 136%
Blue Bell Creameries Emp-All Plans $148 139%
Cigna $148 139%
Americas Health Plan-All Plans $158 148%
Beech Street-All Plans $158 148%
Directcare America-All Plans $158 148%
Galaxy Ppo - All Plans $158 148%
Health Star Comm Ip/Op Only - All Plans $158 148%
Medcorp Southwest Ppo-All Plans $158 148%
Medical Control Ppo-All Plans $158 148%
Phcs Multiplan - All Plans $158 148%
Aetna $167 156%
Healthsmart Work Comp $167 156%
Prime Health Svcs Ppo-All Other Plans $167 156%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Carl Ramert Drive, Yoakum, TX 77995
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals