CMS Price Transparency Data

X-ray, pelvis

Facility: PAM Specialty Hospital of San Antonio Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $471
Cash Discount Price: $629
vs. Medicare Baseline: 4.41x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at PAM Specialty Hospital of San Antonio Medical Center is $471. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $629. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.41x the Medicare baseline. Located in 8902 Floyd Curl Dr, San Antonio, TX.

Cash / Self-Pay

$629

Average discount available for prompt cash payment at this facility.

Insurance Median

$471

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: $629 (589%)

Insurance Median: $471 (441%)

Cash: $629 (589% of Medicare)

Ins. Median: $471 (441% 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 441% of the Medicare baseline (a markup of 341%). 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
Aetna	$16	15%
America'S Choice	$440	412%
Provider Network Of America	$471	441%
Quik Trip	$471	441%
Usa Mco	$471	441%
Velocity Provider Ppo Network	$471	441%
Evolutions Healthcare System	$503	471%
Multiplan/Phcs	$503	471%
Fortified Provider Network	$534	500%
Prime Health Services	$534	500%
Medincrease	$566	530%

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 $629.
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 PAM Specialty Hospital of San Antonio Medical Center 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.