CMS Price Transparency Data

X-ray, pelvis

Facility: Warm Springs Rehabilitation Hospital of San Antonio

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $445
Cash Discount Price: $594
vs. Medicare Baseline: 4.17x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Warm Springs Rehabilitation Hospital of San Antonio is $445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $594. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.17x the Medicare baseline. Located in 5101 Medical Dr, San Antonio, TX.

Cash / Self-Pay

$594

Average discount available for prompt cash payment at this facility.

Insurance Median

$445

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: $594 (556%)

Insurance Median: $445 (417%)

Cash: $594 (556% of Medicare)

Ins. Median: $445 (417% 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 417% of the Medicare baseline (a markup of 317%). 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
Molina Healthcare	$97	91%
America'S Choice Provider Network	$416	389%
Galaxy Health	$445	417%
Provider Network Of America	$445	417%
Quik Trip	$445	417%
Usa Managed Care Organization	$445	417%
Velocity Provider Ppo Network	$445	417%
Multiplan/Phcs	$475	445%
Three Rivers	$475	445%
Prime Health Services	$505	473%
Medincrease	$535	501%

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 $594.
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 Warm Springs Rehabilitation Hospital of San Antonio 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.