CMS Price Transparency Data

X-ray, pelvis

Facility: San Joaquin Valley Rehabilitation Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$189

about 1.8× the $107 Medicare rate · typically $37–$385

modeled estimate · not a bill or quote

Medicare pays $107 Fair price $189 Hospital's list price $120

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Kaiser Permanente AetnaCignaHumana

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	$120	112%
Blue Cross Blue Shieldmajor	$120	112%
Kaiser Permanentemajor	$120	112%
Health Net	$120	112%
+ 1 smaller / regional plan	$120

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72170.

Insurance Before you use insurance

Call your insurance company to confirm San Joaquin Valley Rehabilitation Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72170.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Other Procedures at San Joaquin Valley Rehabilitation Hospital

Compare: X-ray, pelvis at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.