CMS Price Transparency Data

X-ray, pelvis

Facility: Texas Rehabilitation Hospital of Arlington

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $369
  • Cash Discount Price: $369
  • vs. Medicare Baseline: 3.45x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Texas Rehabilitation Hospital of Arlington is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $369. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.45x the Medicare baseline. Located in 900 W Arbrook Blvd, Arlington, TX.
Cash / Self-Pay
$369

Average discount available for prompt cash payment at this facility.

Insurance Median
$369

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: $369 (345%)
Insurance Median: $369 (345%)
Cash: $369 (345% of Medicare)
Ins. Median: $369 (345% 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 345% of the Medicare baseline (a markup of 245%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $369 345%
Blue Cross Blue Shield $369 345%
Cigna $369 345%
Humana $369 345%
Jps Health Network $369 345%
Medicare (plans) $369 345%
Meritain Health $369 345%
Scot & White Health Plan - Ppo $369 345%
Southwedstern Health Resources - Aco $369 345%
Southwestern Health Resources $369 345%
Tricare $369 345%
UnitedHealthcare $369 345%
Wellmed $369 345%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 W Arbrook Blvd, Arlington, TX 76015
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL