CMS Price Transparency Data

X-ray, pelvis

Facility: Pali Momi Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 0.9× the $107 Medicare rate · typically $46–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
Below the fair price — a good deal
about $51 under the fair price · 0.4× Medicare
Medicare pays $107 Fair price $99 This hospital $48 Cash price $179 Hospital's list price $298

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 7 of 8 other HI hospitals charge less.

Cheapest $22 Priciest $56

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, pelvis is about $99 (about 0.9× the $107 Medicare rate). Pali Momi Medical Center charges insurers about $48, or about $179 in cash — below the fair price — a good deal. Located in Aiea, HI.

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✓ Aetna✓ Kaiser Permanente Blue Cross Blue ShieldCignaHumana

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 $19 18%
Aetnamajor $253 237%
Kaiser Permanentemajor $238 223%
Devoted Health $132 124%
+ 10 smaller / regional plans $19 - $238
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 98-1079 Moanalua Road, Aiea, HI 96701
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals