CMS Price Transparency Data

X-ray, pelvis

Facility: Ascension Seton Cedar Park

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $185
Cash Discount Price: $216
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Ascension Seton Cedar Park is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.73x the Medicare baseline. Located in 1401 Medical Parkway, Cedar Park, TX.

Cash / Self-Pay

$216

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $216 (202%)

Insurance Median: $185 (173%)

Cash: $216 (202% of Medicare)

Ins. Median: $185 (173% 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.

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
Champva	$24 - $31	22%
Ambetter / Centene	$28 - $30	26%
Blue Cross Blue Shield	$28 - $454	26%
Wellpoint Chip/Chip Perinate	$28 - $30	26%
Wellpoint Star Kids	$28	26%
Wellpoint Star Plus	$28 - $30	26%
Dell Chip/Chip Perinate	$30	28%
Dell Star	$30	28%
UnitedHealthcare	$30	28%
Wellpoint Star	$30	28%
Humana	$34	32%
Tricare	$97	91%
Aetna	$140 - $185	131%
Superior Star	$147 - $349	138%
Superior Star Foster	$147 - $349	138%
Superior Star Kids	$147 - $349	138%
Superior Star Plus	$147 - $349	138%
Superior Chip/Chip Perinate	$166 - $392	155%
Covenant Health	$185	173%
Seton Performance Plus	$251	235%
Cigna	$350	328%

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 $216.
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 Ascension Seton Cedar Park 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.