CMS Price Transparency Data

X-ray, pelvis

Facility: Pampa Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $98
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Pampa Regional Medical Center is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 1 Medical Plaza, Pampa, TX.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $66 (62%)
Insurance Median: $98 (92%)
Cash: $66 (62% of Medicare)
Ins. Median: $98 (92% 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
Aetna $42 39%
Blue Cross Blue Shield $43 - $503 40%
Texas Blue Bonnet Health Plan $43 - $70 40%
Tricare $43 40%
Imperial Insurance Companies $45 42%
Molina $45 - $190 42%
Provider Partners Health Plan $45 42%
Employer Direct Healthcare $60 56%
Corporate Remedies (Wc) $64 60%
UnitedHealthcare $64 - $69 60%
Qtc Medical Group $98 92%
Medicaid / KanCare $132 124%
Amerigroup $136 127%
Superior Health Plan $136 - $180 127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Plaza, Pampa, TX 79065
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals