CMS Price Transparency Data

X-ray, pelvis

Facility: Intermountain Health Logan Regional Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $277
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 2.59x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Intermountain Health Logan Regional Hospital is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.59x the Medicare baseline. Located in 1400 North 500 East, Logan, UT.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$277

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: $277 (259%)
Insurance Median: $277 (259%)
Cash: $277 (259% of Medicare)
Ins. Median: $277 (259% 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 259% of the Medicare baseline (a markup of 159%). 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 $8 - $355 7%
American Health $8 - $109 7%
Blue Cross Blue Shield $8 - $342 7%
Donor Connect $8 - $98 7%
Health Partners Of Nevada $8 - $105 7%
Health Plan Of Nevada $8 - $111 7%
Healthy U $8 - $87 7%
Humana $8 - $351 7%
Molina $8 - $351 7%
Selecthealth $8 - $315 7%
Southwest Behavioral Health $8 - $100 7%
UnitedHealthcare $8 - $351 7%
Intermountain Caregiver Plan $54 - $157 51%
Triwest $102 95%
Awh Connected $186 - $315 174%
Byu Athletics $186 - $314 174%
Campbell Scientific $186 - $259 174%
Deseret Mutual $186 - $315 174%
Emi $186 - $315 174%
Emi Health $186 - $315 174%
Franklin County $186 - $259 174%
Ifit $186 - $259 174%
Juniper Systems $186 - $259 174%
Lw Miller $186 - $259 174%
Managed Care Admin $186 - $315 174%
Pehp $186 - $351 174%
Prodegi Corp Benefit $186 - $314 174%
Tanner Llc $186 - $314 174%
Utah Tech $186 - $314 174%
Corporation Of The President $277 259%
Corvel Corporation $277 259%
Injury Care Of Nevada $277 259%
Wcf Insurance $277 259%
Altius Mhnet Behavioral Health $314 294%
Byu Risk Management $314 294%
Cigna $314 - $351 294%
Global Excel $314 294%
Medcare International $314 294%
Utah Behavioral Health Network $314 294%
Health Utah $351 329%
Hygeia Corporation $351 329%
Motivhealth $351 329%
Springtide $351 329%
Uofu $351 329%
Wise Network $351 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 North 500 East, Logan, UT 84341
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals