CMS Price Transparency Data

X-ray, pelvis

Facility: Adventist Health Clearlake

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$228
about 2.1× the $107 Medicare rate · typically $57–$408
modeled estimate · not a bill or quote
What this hospital charges insurers
$182
Below the fair price — a good deal
about $46 under the fair price · 1.7× Medicare
Medicare pays $107 Fair price $228 This hospital $182 Cash price $314 Hospital's list price $873

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $182

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, pelvis is about $228 (about 2.1× the $107 Medicare rate). Adventist Health Clearlake charges insurers about $182, or about $314 in cash — below the fair price — a good deal. Located in Clearlake, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $188 - $777 176%
Blue Cross Blue Shieldmajor $131 - $204 123%
Aetnamajor $608 - $696 569%
Cignamajor $733 - $839 686%
Humanamajor $692 - $792 648%
Kaiser Permanentemajor $171 - $839 160%
Health Net $667 - $764 624%
+ 6 smaller / regional plans $31 - $1,538
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 15630 18Th Ave - Hwy 53, Clearlake, CA 95422
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals