CMS Price Transparency Data

X-ray, pelvis

Facility: Cody Regional Health

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $140
Cash Discount Price: $165
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Cody Regional Health is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.31x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

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: $165 (154%)

Insurance Median: $140 (131%)

Cash: $165 (154% of Medicare)

Ins. Median: $140 (131% 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
Medica Comm - All Other Plans	$8 - $274	7%
Tricare	$8 - $140	7%
Mountain Health - All Plans	$13 - $274	12%
Blue Cross Blue Shield	$35 - $289	33%
Pacific Source - All Plans	$46 - $274	43%
Christian Hlthcare - All Plans	$67 - $243	63%
Cigna	$76 - $242	71%
First Choice Health - All Plans	$76 - $274	71%
Humana	$76 - $283	71%
Interwest Health Ppo - All Plans	$77 - $280	72%
First Health Ntwrk-All Plans	$78 - $283	73%
Three Rivers - All Plans	$80 - $289	75%
UnitedHealthcare	$80 - $283	75%
Rocky Mtn Admin - All Plans	$274	257%

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 $165.
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 Cody Regional Health 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.