CMS Price Transparency Data

X-ray, pelvis

Facility: Salem Township Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$136

about 1.3× the $107 Medicare rate · typically $53–$229

modeled estimate · not a bill or quote

What this hospital charges insurers

$102

Below the fair price — a good deal

about $34 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $136 This hospital $102 Cash price $194 Hospital's list price $486

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $19 Priciest $102

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

A fair price for a X-ray, pelvis is about $136 (about 1.3× the $107 Medicare rate). Salem Township Hospital charges insurers about $102, or about $194 in cash — below the fair price — a good deal. Located in Salem, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$97 - $107	91%

Government programs also on file: Medicare.

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 (about 194), 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 Salem Township 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.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Salem Township Hospital

Compare: X-ray, pelvis at other IL hospitals

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